Active NPI
Leonor C Carrasco, MD
- Allergy & Immunology Physician
- Kinston, NC
National Provider Identifier
1851335665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 30999
- Practice address
- 905 N Queen St
Kinston, NC 28501 - Phone
- (252) 523-5461
- Fax
- (252) 523-0471
- NPI assigned
- Jun 15, 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 |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 30999 | NC | Primary |
Addresses
Primary practice location
905 N Queen St
Kinston, NC 28501
Mailing address
PO Box 1073
Kinston, NC 28503-1073
Phone (252) 523-5461
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8921358 | Medicaid | NC |
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 |
|---|---|---|---|
| 30999 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185753600000",
"number": "1851335665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1073",
"city": "KINSTON",
"state": "NC",
"postal_code": "285031073",
"telephone_number": "252-523-5461",
"fax_number": "252-523-0471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 N QUEEN ST",
"city": "KINSTON",
"state": "NC",
"postal_code": "28501",
"telephone_number": "252-523-5461",
"fax_number": "252-523-0471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRASCO",
"first_name": "LEONOR",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-15",
"last_updated": "2007-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "NC",
"license": "30999",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8921358",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kinston, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.