Active NPI
Carolyn Estes, NP
- Family Nurse Practitioner
- Tupelo, MS
National Provider Identifier
1811963127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R513849
- Practice address
- 860 S Madison St
Tupelo, MS 38801-4905 - Phone
- (662) 377-7150
- Fax
- (662) 377-7155
- NPI assigned
- Feb 27, 2006
- Last updated
- Mar 4, 2011
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R513849 | MS | Primary |
Addresses
Primary practice location
860 S Madison St
Tupelo, MS 38801-4905
Mailing address
860 S Madison St
Tupelo, MS 38801-4905
Phone (662) 377-7150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00112797 | Medicaid | MS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299196800000",
"number": "1811963127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 S MADISON ST",
"city": "TUPELO",
"state": "MS",
"postal_code": "388014905",
"telephone_number": "662-377-7150",
"fax_number": "662-377-7155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 S MADISON ST",
"city": "TUPELO",
"state": "MS",
"postal_code": "388014905",
"telephone_number": "662-377-7150",
"fax_number": "662-377-7155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTES",
"first_name": "CAROLYN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-27",
"last_updated": "2011-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R513849",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00112797",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tupelo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.