Individual provider Active NPI

Colleen Marie Carboy, RN, JD

  • Legal Medicine
  • Lewisville, TX
National Provider Identifier
1629907852
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
560033 Issued in TX
Practice address
2643 Round Table Blvd
Lewisville, TX 75056-5723
Phone
(972) 410-4200
Fax
(972) 410-4201
NPI assigned
May 14, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X 560033 TX Primary

Addresses

Primary practice location

2643 Round Table Blvd
Lewisville, TX 75056-5723

Mailing address

2643 Round Table Blvd
Lewisville, TX 75056-5723
Phone (972) 410-4200

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
Credentials
Juris Doctor, Registered Nurse

State licenses

LicenseStateTypeSpecialty
560033TXMDLegal Medicine

NPI Registry JSON

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

{
    "created_epoch": "1778716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1629907852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2643 ROUND TABLE BLVD",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750565723",
            "telephone_number": "972-410-4200",
            "fax_number": "972-410-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2643 ROUND TABLE BLVD",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750565723",
            "telephone_number": "972-410-4200",
            "fax_number": "972-410-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBOY",
        "first_name": "COLLEEN",
        "middle_name": "MARIE",
        "credential": "RN, JD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-14",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "TX",
            "license": "560033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.