Carolyn R Kolb, NP-C

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

AP7144 Issued in AZ

Practice address

802 Ainsworth Dr Ste a
Prescott, AZ 86301-1623

Phone

(928) 445-6025

Fax

(928) 777-2423

NPI assigned

Jul 16, 2006

Last updated

Jun 26, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Carolyn J Ryan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Horizon Healthcare

  • Primary Care Nurse Practitioner
  • Flagstaff, AZ
  • NPI 1184676280
  NPD (past)
• Saint Alphonsus Specialty Services Inc

  • Trauma Surgery Physician
  • Boise, ID
  • NPI 1093040479
  NPD (past)

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1649297532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10880",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863040880",
            "telephone_number": "928-759-5987",
            "fax_number": "928-458-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 AINSWORTH DR STE A",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011623",
            "telephone_number": "928-445-6025",
            "fax_number": "928-777-2423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLB",
        "first_name": "CAROLYN",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "AP7144",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "ID",
            "license": "NP854A",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "288",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "RYAN",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stacey L Kocis, MT-10198
• Kokopelli Eye Care PC
• Kokopelli Eye Care PC
• Kokoro II LTD
• Calie Kolb
• Michele A Kolb, R.N.
• Corrine Lynette Kole, M.S., CCC-SLP
• Esther R Kparyea, LCSW
• Jeanette Susan Kramer, D.C.
• Rebecca Kraxberger, RD

• Acute Care Nurse Practitioner in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Acute Care Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.