Individual provider Active NPI

Carrie Kim Patterson, M.D.

  • Obstetrics & Gynecology Physician
  • Frisco, TX
National Provider Identifier
1831370055
Registry record updated Oct 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
N0888 Issued in TX
Practice address
5757 Warren Pkwy
Suite 310
Frisco, TX 75034-4274
Phone
(214) 824-2547
Fax
(214) 618-8038
NPI assigned
Nov 15, 2007
Last updated
Oct 18, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A94168 CA
Obstetrics & Gynecology Physician 207V00000X N0888 TX Primary

Addresses

Primary practice location

5757 Warren Pkwy
Suite 310
Frisco, TX 75034-4274

Mailing address

5757 Warren Pkwy
Suite 310
Frisco, TX 75034-4274
Phone (214) 824-2547

Other names 1

  • Dr. Carrie Hyo Min Kim Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2016 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A94168CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carrie Kim Patterson MD PA Obstetrics & Gynecology PastSince Sep 3, 2011 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: carrie.patterson.2@11541.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/11541/brand/26/csg/201/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318896000000",
    "number": "1831370055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 WARREN PKWY",
            "address_2": "SUITE 310",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344274",
            "telephone_number": "214-824-2547",
            "fax_number": "214-618-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 WARREN PKWY",
            "address_2": "SUITE 310",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344274",
            "telephone_number": "214-824-2547",
            "fax_number": "214-618-8038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "CARRIE",
        "middle_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-15",
        "last_updated": "2011-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A94168",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "N0888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "KIM",
            "middle_name": "HYO MIN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.