Carson Teague, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

301036 Issued in KY

Practice address

203 N 2ND St
Central City, KY 42330-1205

Phone

(270) 754-4900

NPI assigned

Mar 3, 2016

Sex

Female

Sole proprietor

Yes

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

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

A New Start II, LLCGroup PAC ID 6204170848, 4 clinicians

A New Start Primary Care LLCGroup PAC ID 8123362779, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cteague63036@direct.owensborohealth.org
• Direct secure messaging: anewstartllc.carsonteague@135081.advancedmd-direct.com

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.

• A New Start II, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Central City, KY
  • NPI 1467823328
  Medicare reassignment Care Compare group NPD
• A New Start Primary Care LLC

  • Rural Health Clinic/Center
  • Central City, KY
  • NPI 1043796733
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1679933626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 N 2ND ST",
            "city": "CENTRAL CITY",
            "state": "KY",
            "postal_code": "423301205",
            "telephone_number": "270-754-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 N 2ND ST",
            "city": "CENTRAL CITY",
            "state": "KY",
            "postal_code": "423301205",
            "telephone_number": "270-754-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEAGUE",
        "first_name": "CARSON",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "301036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Smith
• Sparks Nursing Center, Inc.
• Edith Ann Stanley, H.I.S.
• Angela Stewart, M.ED
• Evan M Sweeney, PHARMD
• Alyssa Marie Thomas
• Tillman Family Chiropractic
• Candace L Tillman, DNP. APRN, FNP-C
• Randall Tillman, D.C.
• Hollie Michelle Tooley, MS CCC-SLP

• Family Nurse Practitioner in Central City, KY
• Providers in Central City, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.