Active NPI
Cara Michelle Hetrick, RN, BSN
- Registered Nurse
- Fort Mohave, AZ
National Provider Identifier
1710882063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 274646
- Practice address
- 1524 E Jill Way
Fort Mohave, AZ 86426-9121 - Phone
- (928) 201-8415
- NPI assigned
- Oct 8, 2026
- Last updated
- Oct 8, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 274646 | AZ | Primary |
Addresses
Primary practice location
1524 E Jill Way
Fort Mohave, AZ 86426-9121
Mailing address
2367 Lupine TRL
Bullhead City, AZ 86442-8760
Phone (928) 201-8415
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791417600000",
"number": "1710882063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2367 LUPINE TRL",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "864428760",
"telephone_number": "928-201-8415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1524 E JILL WAY",
"city": "FORT MOHAVE",
"state": "AZ",
"postal_code": "864269121",
"telephone_number": "928-201-8415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HETRICK",
"first_name": "CARA",
"middle_name": "MICHELLE",
"credential": "RN, BSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-08",
"last_updated": "2026-10-08",
"certification_date": "2026-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "274646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Mohave, AZ
- Maria Elizabeth Harris, RN
- Polly A Hediger, DC
- Hematology Oncology Associates of North Jersey, LLC (Dr. Mohtaseb Cancer Center and Blood Disorders)
- Richard E Hendrix, MD
- Larry Coomer Hernandez, PTA
- Nathaniel Charles Hollister, MD
- Les Jay Holub, RPH
- Cari Dawn Horne, CSFA
- HPH Homecare, LLC
- Han-Chin C Huang, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.