Active NPI
Noelle L Carr
- Registered Dietitian
- Fishers, IN
National Provider Identifier
1962759993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 37002214A
- Practice address
- 11650 Lantern Rd Ste 235
Fishers, IN 46038-3106 - Phone
- (317) 576-8410
- Fax
- (888) 654-4116
- NPI assigned
- Aug 9, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 37002214A | IN | Primary |
Addresses
Primary practice location
11650 Lantern Rd Ste 235
Fishers, IN 46038-3106
Mailing address
11650 Lantern Rd Ste 235
Fishers, IN 46038-3106
Phone (317) 576-8410
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37002214A | Other | IN | DIETITIAN LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37002214A | IN | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344470400000",
"number": "1962759993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11650 LANTERN RD STE 235",
"city": "FISHERS",
"state": "IN",
"postal_code": "460383106",
"telephone_number": "317-576-8410",
"fax_number": "888-654-4116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11650 LANTERN RD STE 235",
"city": "FISHERS",
"state": "IN",
"postal_code": "460383106",
"telephone_number": "317-576-8410",
"fax_number": "888-654-4116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARR",
"first_name": "NOELLE",
"middle_name": "L",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-09",
"last_updated": "2012-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IN",
"license": "37002214A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DIETITIAN LICENSE",
"identifier": "37002214A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fishers, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.