Individual provider Active NPI

Carla R Scheper, RN, CNOR, CRNFA

  • Registered Nurse First Assistant
  • Cape Girardeau, MO
National Provider Identifier
1891832200
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
067128 Issued in MO
Practice address
456 Shady Brook Dr
Cape Girardeau, MO 63701-9307
Phone
(573) 243-2263
Fax
(573) 243-0212
NPI assigned
Feb 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 067128 MO Primary

Addresses

Primary practice location

456 Shady Brook Dr
Cape Girardeau, MO 63701-9307

Mailing address

456 Shady Brook Dr
Cape Girardeau, MO 63701-9307
Phone (573) 243-2263

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
067128MOMDRegistered Nurse First Assistant

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891832200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 SHADY BROOK DR",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637019307",
            "telephone_number": "573-243-2263",
            "fax_number": "573-243-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 SHADY BROOK DR",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637019307",
            "telephone_number": "573-243-2263",
            "fax_number": "573-243-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEPER",
        "first_name": "CARLA",
        "middle_name": "R",
        "credential": "RN, CNOR, CRNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "MO",
            "license": "067128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.