Jana Carn | NPI 1831617059

Key facts

NPI: 1831617059
Entity type: Individual (NPI type 1)
Primary specialty: Student in an Organized Health Care Education/Training Program 390200000X
Practice address: 1500 S Ave K
Station 3, Shroc
Portales, NM 88130
Phone: (575) 562-4232
NPI assigned: Sep 8, 2017
Sex: Female
Sole proprietor: No

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 and National Provider Directory roles.

Eastern New Mexico University Speech-Language Pathologist · Portales, NM · NPI 1356115273

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Eastern New Mexico University		Past since Nov 12, 2023	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Student in an Organized Health Care Education/Training Program	390200000X			Yes

Addresses

Primary practice location

1500 S Ave K
Station 3, Shroc
Portales, NM 88130

Mailing address

1500 S Ave K
Station 3, Shroc
Portales, NM 88130

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 8, 2017.

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504828800000",
    "number": "1831617059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S AVE K",
            "address_2": "STATION 3, SHROC",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "88130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S AVE K",
            "address_2": "STATION 3, SHROC",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "88130",
            "telephone_number": "575-562-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARN",
        "first_name": "JANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-08",
        "last_updated": "2017-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portales, NM

All providers in Portales, NM · Student in an Organized Health Care Education/Training Program in New Mexico

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2017. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.