Individual provider Active NPI

Carol McOmber, RN

  • Student in an Organized Health Care Education/Training Program
  • Phoenix, AZ
National Provider Identifier
1922291988
Registry record updated Aug 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
RN142526 Issued in AZ
Practice address
4525 E Saint Anne Ave
Phoenix, AZ 85042-5359
Phone
(602) 431-6640
Fax
(602) 431-6887
NPI assigned
Aug 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X RN142526 AZ Primary

Addresses

Primary practice location

4525 E Saint Anne Ave
Phoenix, AZ 85042-5359

Mailing address

4525 E Saint Anne Ave
Phoenix, AZ 85042-5359
Phone (602) 431-6640

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
RN142526AZMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187827200000",
    "number": "1922291988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 E SAINT ANNE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850425359",
            "telephone_number": "602-431-6640",
            "fax_number": "602-431-6887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 E SAINT ANNE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850425359",
            "telephone_number": "602-431-6640",
            "fax_number": "602-431-6887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCOMBER",
        "first_name": "CAROL",
        "name_prefix": "Miss",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AZ",
            "license": "RN142526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.