Individual provider Active NPI

Carolyn V Lo, ANP-BC

  • Adult Health Nurse Practitioner
  • Carmichael, CA
National Provider Identifier
1730420449
Registry record updated Dec 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
13965 Issued in CA
Practice address
5900 Coyle Ave Ste a
Carmichael, CA 95608-0400
Phone
(916) 414-9055
Fax
(916) 414-9054
NPI assigned
Mar 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 428050 CA
Nurse Practitioner 363L00000X NP13965 CA
Adult Health Nurse Practitioner 363LA2200X 13965 CA Primary

Addresses

Primary practice location

5900 Coyle Ave Ste a
Carmichael, CA 95608-0400

Mailing address

7466 Sachi Way
Sacramento, CA 95823-3964
Phone (650) 441-5539

Other practice location 1

4441 Auburn Blvd Ste J
Sacramento, CA 95841-4139
Phone (916) 550-1050

Other names 1

  • Carolyn L Ramos Other name

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP13965CAMDNurse Practitioner
13965CAMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545868800000",
    "number": "1730420449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7466 SACHI WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958233964",
            "telephone_number": "650-441-5539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 COYLE AVE STE A",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080400",
            "telephone_number": "916-414-9055",
            "fax_number": "916-414-9054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4441 Auburn Blvd Ste J",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958414139",
            "country_code": "US",
            "telephone_number": "916-550-1050",
            "fax_number": "916-550-1238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LO",
        "first_name": "CAROLYN",
        "middle_name": "V",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-05",
        "last_updated": "2018-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "428050",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP13965",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "13965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "RAMOS",
            "middle_name": "L",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Carmichael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; 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.