Active NPI
Audrey McDonald Carney
- Counselor
- Lebanon JCT, KY
National Provider Identifier
1770099749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- KY-0583
- Practice address
- 511 Wilson Run Rd
Lebanon JCT, KY 40150-8567 - Phone
- (502) 439-1787
- NPI assigned
- Dec 28, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | KY-0583 | KY | Primary |
Addresses
Primary practice location
511 Wilson Run Rd
Lebanon JCT, KY 40150-8567
Mailing address
511 Wilson Run Rd
Lebanon JCT, KY 40150-8567
Phone (502) 439-1787
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101Y00000X | Medicaid | KY |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY-0583 | KY | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516320000000",
"number": "1770099749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 WILSON RUN RD",
"city": "LEBANON JCT",
"state": "KY",
"postal_code": "401508567",
"telephone_number": "502-439-1787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 WILSON RUN RD",
"city": "LEBANON JCT",
"state": "KY",
"postal_code": "401508567",
"telephone_number": "502-439-1787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD CARNEY",
"first_name": "AUDREY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-28",
"last_updated": "2018-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "KY",
"license": "KY-0583",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101Y00000X",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.