Individual provider Active NPI

Carol Ellen Sinner, RN

  • School Registered Nurse
  • Scottsbluff, NE
National Provider Identifier
1699383802
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
40088 Issued in NE
Practice address
4215 Avenue I
Scottsbluff, NE 69361-4902
Phone
(308) 635-3696
NPI assigned
Jul 14, 2020
Last updated
Jul 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 40088 NE Primary

Addresses

Primary practice location

4215 Avenue I
Scottsbluff, NE 69361-4902

Mailing address

180076 Nash Dr
Scottsbluff, NE 69361-5736
Phone (308) 225-3567

Other identifiers 1

IdentifierTypeStateIssuer
40088OtherNERN LICENSE

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
40088NEMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Educational Service Unit 13 PastSince Jul 27, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1699383802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180076 NASH DR",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693615736",
            "telephone_number": "308-225-3567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 AVENUE I",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614902",
            "telephone_number": "308-635-3696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINNER",
        "first_name": "CAROL",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NE",
            "license": "40088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "40088",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsbluff, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.