Individual provider Active NPI

Elizabeth Mary Carter, MSN,RN,CPNP

  • Pediatric Nurse Practitioner
  • Port Arthur, TX
National Provider Identifier
1972745651
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
702754 Issued in TX
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
Sarah Dubose, Aprn, PLLC PastSince Dec 13, 2020 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.

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.

Verify at the official NPI Registry.