Active NPI
Carol L Hulett, MD
- Sports Medicine (Orthopaedic Surgery) Physician
- Sierra Vista, AZ
National Provider Identifier
1750485470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- CH042439
- Practice address
- 1951 Frontage Rd
Sierra Vista, AZ 85635-4606 - Phone
- (520) 458-0650
- Fax
- (520) 459-7030
- NPI assigned
- Sep 12, 2006
- 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 |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | CH042439 | MI | Primary |
Addresses
Primary practice location
1951 Frontage Rd
Sierra Vista, AZ 85635-4606
Mailing address
302 El Camino Real
Ste 5
Sierra Vista, AZ 85635-2860
Phone (520) 458-4335
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 385927 | Medicaid | AZ |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH042439 | MI | MD | Sports Medicine (Orthopaedic Surgery) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285891200000",
"number": "1750485470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 EL CAMINO REAL",
"address_2": "STE 5",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856352860",
"telephone_number": "520-458-4335",
"fax_number": "520-452-2232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1951 FRONTAGE RD",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856354606",
"telephone_number": "520-458-0650",
"fax_number": "520-459-7030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULETT",
"first_name": "CAROL",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-12",
"last_updated": "2010-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "MI",
"license": "CH042439",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "385927",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sierra Vista, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.