Active NPI
Elizabeth Mary Carter, MSN,RN,CPNP
- Pediatric Nurse Practitioner
- Port Arthur, TX
National Provider Identifier
1972745651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 702754
- Practice address
- 1946 9TH Ave Ste 405
Port Arthur, TX 77642-2762 - Phone
- (409) 982-0082
- Fax
- (409) 982-3641
- NPI assigned
- Mar 27, 2009
- Last updated
- Dec 30, 2019
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 702754 | TX | Primary |
Addresses
Primary practice location
1946 9TH Ave Ste 405
Port Arthur, TX 77642-2762
Mailing address
1946 9TH Ave Ste 405
Port Arthur, TX 77642-2762
Phone (409) 982-0082
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
- Certified Pediatric Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sarah Dubose, Aprn, PLLC | Past | Accepting new patients | |
| Marian Tan Medical Group LTD LLP | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba The Childrens Health Center
- Pediatrics Physician
- Port Arthur, TX
- NPI 1710179445
-
- Family Nurse Practitioner
- Port Arthur, TX
- NPI 1528664562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577664000000",
"number": "1972745651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1946 9TH AVE STE 405",
"city": "PORT ARTHUR",
"state": "TX",
"postal_code": "776422762",
"telephone_number": "409-982-0082",
"fax_number": "409-982-3641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1946 9TH AVE STE 405",
"city": "PORT ARTHUR",
"state": "TX",
"postal_code": "776422762",
"telephone_number": "409-982-0082",
"fax_number": "409-982-3641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "ELIZABETH",
"middle_name": "MARY",
"credential": "MSN,RN,CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-27",
"last_updated": "2019-12-30",
"certification_date": "2019-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "702754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Arthur, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.