Active NPI
Patricia Denise Carter, PA-C
- Physician Assistant
- Las Vegas, NV
National Provider Identifier
1922433879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA1357
- Practice address
- 2800 E Desert Inn Rd Ste 100
Las Vegas, NV 89121-3609 - Phone
- (702) 731-1616
- Fax
- (702) 731-0741
- NPI assigned
- Sep 11, 2013
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA1357 | NV | Primary |
Addresses
Primary practice location
2800 E Desert Inn Rd Ste 100
Las Vegas, NV 89121-3609
Mailing address
2800 E Desert Inn Rd Ste 100
Las Vegas, NV 89121-3609
Phone (702) 731-1616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922433879 | Medicaid | NV |
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
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grondel Urgent Care of Henderson, PLLC | Past | Accepting new patients |
Interoperability endpoints
- patricia.carter.p15@direct.ipn.nextgenshare.com
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.
-
- Urgent Care Clinic/Center
- Henderson, NV
- NPI 1194057505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447286400000",
"number": "1922433879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 E DESERT INN RD STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891213609",
"telephone_number": "702-731-1616",
"fax_number": "702-731-0741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 E DESERT INN RD STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891213609",
"telephone_number": "702-731-1616",
"fax_number": "702-731-0741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "PATRICIA",
"middle_name": "DENISE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-11",
"last_updated": "2015-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "PA1357",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1922433879",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.