Individual provider Active NPI

Bernadette Carrigo, FNP

  • Family Nurse Practitioner
  • Plano, TX
National Provider Identifier
1861584062
Registry record updated Oct 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP110206 Issued in TX
Practice address
2300 14TH St Ste 145
Plano, TX 75074-6445
Phone
(972) 424-9232
Fax
(972) 633-1430
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 024164917 VA
Family Nurse Practitioner 363LF0000X AP110206 TX Primary

Addresses

Primary practice location

2300 14TH St Ste 145
Plano, TX 75074-6445

Mailing address

2300 14TH St Ste 145
Plano, TX 75074-6445
Phone (972) 424-9232

Other identifiers 1

IdentifierTypeStateIssuer
346506401MedicaidTX

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

State licenses

LicenseStateTypeSpecialty
AP110206TXMDFamily Nurse Practitioner
024164917VAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446076800000",
    "number": "1861584062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 14TH ST STE 145",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750746445",
            "telephone_number": "972-424-9232",
            "fax_number": "972-633-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 14TH ST STE 145",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750746445",
            "telephone_number": "972-424-9232",
            "fax_number": "972-633-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRIGO",
        "first_name": "BERNADETTE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2015-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "024164917",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP110206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "346506401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.