Mary Fisher Carnell

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

RN.0175745 Issued in CO

Practice address

6025 Erin Park Dr
Colorado Springs, CO 80918-5400

Phone

(719) 473-4460

NPI assigned

Sep 24, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Comcor, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Colorado Springs, CO
  • NPI 1497024590
  NPD (past)
• Valor Program at Embrave LLC

  • Community/Behavioral Health Agency
  • Colorado Springs, CO
  • NPI 1528807013
  NPD (past)
• Valor Program at Embrave LLC

  • Family Medicine Physician
  • Colorado Springs, CO
  • NPI 1952145146
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1619840915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1468 TERRA VISTA LN",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809112438",
            "telephone_number": "719-213-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 ERIN PARK DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809185400",
            "telephone_number": "719-473-4460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "430 Garden Of The Gods Rd",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809074218",
            "country_code": "US",
            "telephone_number": "719-355-8183",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3615 Roberts Rd",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809075301",
            "country_code": "US",
            "telephone_number": "719-473-3033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARNELL",
        "first_name": "MARY",
        "middle_name": "FISHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-24",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN.0175745",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "CO",
            "license": "RN.0175745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmina Blasko, LLC
• Shaun Carmody, ATC
• Marsha Carnahan, LMT
• Allyson Carneal
• Christopher Carneal
• Aidan Carnevale
• Alyssa Nicole Carney, MA
• Anastasiya V Carney, PA-C
• Mary Jane Carney
• Lindsey Anne Carnick, LCSW

• Administrator Registered Nurse in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Administrator Registered Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.