Active NPI
Carrie Webb
- Licensed Practical Nurse
- Lincoln Park, MI
National Provider Identifier
1629334529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 4703108478
- Practice address
- 1080 Cloverlawn Blvd
Lincoln Park, MI 48146-4216 - Phone
- (248) 588-0512
- NPI assigned
- Apr 4, 2012
- Last updated
- Oct 17, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 4703108478 | MI | Primary |
Addresses
Primary practice location
1080 Cloverlawn Blvd
Lincoln Park, MI 48146-4216
Mailing address
1080 Cloverlawn Blvd
Lincoln Park, MI 48146-4216
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4703108478 | MI | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729123200000",
"number": "1629334529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1080 CLOVERLAWN BLVD",
"city": "LINCOLN PARK",
"state": "MI",
"postal_code": "481464216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1080 CLOVERLAWN BLVD",
"city": "LINCOLN PARK",
"state": "MI",
"postal_code": "481464216",
"telephone_number": "248-588-0512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBB",
"first_name": "CARRIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-04",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "MI",
"license": "4703108478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln Park, MI
- Tammy Chloe Waddell, D.D.S.
- Loretta Nadine Wade, R.N.
- Katie Hartley Wakeman, LMSW
- Walgreen Co (Walgreens #04749)
- William P Walsh, LMSW
- Claire Webster, MSW
- Western Wayne Family Health Centers (Western Wayne Southwest Center)
- Western Wayne Family Health Centers
- Diane Hayward Wickham, L.P.C.
- Wildroots Mental Health & Wellness, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.