Justine Marie Decarlo

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

345680 Issued in TX

Practice address

529 Perry
Robinson, TX 76706-5308

Phone

(254) 652-5875

NPI assigned

Apr 23, 2019

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1720642002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 PERRY",
            "city": "ROBINSON",
            "state": "TX",
            "postal_code": "767065308",
            "telephone_number": "254-652-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 PERRY",
            "city": "ROBINSON",
            "state": "TX",
            "postal_code": "767065308",
            "telephone_number": "254-652-5875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECARLO",
        "first_name": "JUSTINE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-23",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "345680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Contreras
• Rachel Crenshaw
• Sofia Crook
• Jeannette Cunningham, D.D.S.
• Andi Daniliuc
• Erica Degrate
• Kylea Delatorre
• Lisette Dobry, BCBA
• Julia Douglas
• Savanna Drake

• All providers in Robinson, TX
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.