Carolyn S Pershing

Primary specialty

Emergency Registered NurseTaxonomy code 163WE0003X

License

L1-0046889 Issued in DE

Practice address

24526 N Beaver Rd
Springboro, PA 16435-4504

Phone

(814) 587-3917

NPI assigned

May 3, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1639734809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24526 N BEAVER RD",
            "city": "SPRINGBORO",
            "state": "PA",
            "postal_code": "164354504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24526 N BEAVER RD",
            "city": "SPRINGBORO",
            "state": "PA",
            "postal_code": "164354504",
            "telephone_number": "814-587-3917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSHING",
        "first_name": "CAROLYN",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-03",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "DE",
            "license": "L1-0046889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothy Louise Braden
• Joyce A Brenc, CNM
• Rachel Skelton
• Springboro Volunteer Fire Dept & Relief Assn

• All providers in Springboro, PA
• Emergency Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; 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.