Individual provider Active NPI

Karma Selina Carty, MSN, APRN, FNP- C

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1700495306
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
243683 Issued in AZ
Practice address
5910 N la Cholla Blvd
Tucson, AZ 85741-3535
Phone
(520) 297-0404
Fax
(520) 297-0436
NPI assigned
Jul 29, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 243683 AZ Primary

Addresses

Primary practice location

5910 N la Cholla Blvd
Tucson, AZ 85741-3535

Mailing address

PO Box 43160
Tucson, AZ 85733-3160
Phone (520) 297-0404

Other practice location 1

1773 W Saint Marys Rd Ste 202
Tucson, AZ 85745-2654
Phone (520) 297-0404

Other identifiers 1

IdentifierTypeStateIssuer
082883MedicaidAZ

Other names 1

  • Karma Selina Maxwell Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Tucson

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20201022003743 AZ Practitioner - Nurse Practitioner 0547680969 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mark C Goldberg, MD PC CurrentSince Jan 1, 2024 Accepting new patients
Tucson Endocrine Associates PLLC CurrentSince Sep 28, 2020 Accepting new patients

Locations

5910 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 297-0404

4790 E Camp Lowell Dr
Tucson, AZ 85712
Phone (520) 319-5922

1773 W Saint Marys Rd
Ste 202
Tucson, AZ 85745
Phone (520) 297-0404

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCACBA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1700495306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43160",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857333160",
            "telephone_number": "520-297-0404",
            "fax_number": "520-297-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 N LA CHOLLA BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413535",
            "telephone_number": "520-297-0404",
            "fax_number": "520-297-0436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1773 W Saint Marys Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857452654",
            "country_code": "US",
            "telephone_number": "520-297-0404",
            "fax_number": "520-297-0436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTY",
        "first_name": "KARMA",
        "middle_name": "SELINA",
        "credential": "MSN, APRN, FNP- C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "243683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "082883",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Tucson",
            "affiliation": "N",
            "address_1": "6121 E 20th St",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857115217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KARMA",
            "last_name": "MAXWELL",
            "middle_name": "SELINA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.