Carter Mayotte, RA

Primary specialty

Radiology Practitioner AssistantTaxonomy code 243U00000X

License

RAD103746 Issued in IA

Practice address

933 E Pierce St
Attn: Radiology Dept
Council Bluffs, IA 51503-4652

Phone

(712) 396-6140

Fax

(712) 396-6227

NPI assigned

Dec 13, 2022

Sex

Male

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": "1670889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1639880339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14301 FNB PKWY STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681547200",
            "telephone_number": "402-493-1212",
            "fax_number": "866-363-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 E PIERCE ST",
            "address_2": "ATTN: RADIOLOGY DEPT",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034652",
            "telephone_number": "712-396-6140",
            "fax_number": "712-396-6227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYOTTE",
        "first_name": "CARTER",
        "credential": "RA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "243U00000X",
            "taxonomy_group": "",
            "desc": "Radiology Practitioner Assistant",
            "state": "IA",
            "license": "RAD103746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riley Kay Maxwell
• May Medical, Inc.
• Susan Dawn Mayberry
• Latois Nicole Mayfield
• Diane Lyn Mayhew, OTR/L
• Rachael Marie McAtee
• Joanne Marie McConkey, PHARMD
• Jessica McCool, M.D.
• Amanda McCormick, ARNP
• Elizabeth McDermott, DNP

• Radiology Practitioner Assistant in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Radiology Practitioner Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.