Individual provider Active NPI

Caylee Carin Carrey, CPNP

  • Pediatric Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1962002717
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
0024-179491 Issued in VA
Practice address
9900 Independence Park Dr., Ste 100
Richmond, VA 23233
Phone
(804) 747-1750
NPI assigned
Oct 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 202017222 VA
Nurse Practitioner 363L00000X 0024117949 VA
Pediatric Nurse Practitioner 363LP0200X 0024-179491 VA Primary

Addresses

Primary practice location

9900 Independence Park Dr., Ste 100
Richmond, VA 23233

Mailing address

9900 Independence Park Dr., Ste 100
Richmond, VA 23233
Phone (804) 747-1750

Other names 1

  • Caylee Carin Cook Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ALLSCRIPTS

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
Certified Pediatric Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
202017222VAMDPediatrics Physician
0024117949VAMDNurse Practitioner
0024-179491VAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Pediatric Associates, Inc. Pediatrics PastSince Nov 1, 2020 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1962002717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 INDEPENDENCE PARK DR., STE 100",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23233",
            "telephone_number": "804-747-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 INDEPENDENCE PARK DR., STE 100",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23233",
            "telephone_number": "804-747-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARREY",
        "first_name": "CAYLEE",
        "middle_name": "CARIN",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-30",
        "last_updated": "2024-03-28",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "202017222",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024117949",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024-179491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ALLSCRIPTS",
            "affiliation": "N",
            "address_1": "9900 Independence Park Dr Ste 100",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232331473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CAYLEE",
            "last_name": "COOK",
            "middle_name": "CARIN",
            "credential": "CPNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.