Carrie Lynn Carda, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

111753 Issued in MO

Practice address

2340 Katy LN
Poplar Bluff, MO 63901-2300

Phone

(573) 776-7393

Fax

(573) 776-7396

NPI assigned

Feb 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Obstetrics/Gynecology

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Womens Health Specialists PCGroup PAC ID 6406834951, shared by 2 NPIs, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Poplar Bluff Regional Medical Center Hospital, Poplar Bluff, MO, CCN 260119
• Missouri Delta Medical Center Hospital, Sikeston, MO, CCN 260113

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Womens Health Specialists, PC

  • Rural Health Clinic/Center
  • Poplar Bluff, MO
  • NPI 1467047738

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership

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.

• Womens Health Specialists, PC

  • Obstetrics & Gynecology Physician
  • Poplar Bluff, MO
  • NPI 1184686925

  MO, Obstetrics & Gynecology

  Medicare reassignment NPD Authorized official
• Be. Women'S Health and Wellness, P.L.L.C.

  • Obstetrics & Gynecology Physician
  • Frisco, TX
  • NPI 1689087587

  Obstetrics & Gynecology, TX

  Medicare reassignment NPD
• Elite Healthcare, LLC

  • Family Nurse Practitioner
  • Crossroads, TX
  • NPI 1447922265

  TX

  Medicare reassignment NPD
• Womens Health Specialists, PC

  • Rural Health Clinic/Center
  • Poplar Bluff, MO
  • NPI 1467047738
  NPD Authorized official
• Bluff Area Therapy Center, LLC

  • Speech-Language Pathologist
  • Poplar Bluff, MO
  • NPI 1710668041
  NPD
• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Missouri Delta Medical Center

  • General Acute Care Hospital
  • Sikeston, MO
  • NPI 1831269539

  Hospital

  Care Compare affiliation
• Poplar Bluff Regional Medical Center LLC

  • General Acute Care Hospital
  • Poplar Bluff, MO
  • NPI 1700831724

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1992777957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 KATY LN",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012300",
            "telephone_number": "573-776-7393",
            "fax_number": "573-776-7396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 KATY LN",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012300",
            "telephone_number": "573-776-7393",
            "fax_number": "573-776-7396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8700 US Highway 380 Ste 300",
            "address_purpose": "LOCATION",
            "city": "Crossroads",
            "state": "TX",
            "postal_code": "762272661",
            "country_code": "US",
            "telephone_number": "940-365-9001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "893 Vanderbilt Beach Rd",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341088710",
            "country_code": "US",
            "telephone_number": "239-325-9645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1141 Butler St",
            "address_purpose": "LOCATION",
            "city": "Poplar Bluff",
            "state": "MO",
            "postal_code": "639015659",
            "country_code": "US",
            "telephone_number": "573-778-3250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15301 Ventura Blvd Ste U2",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914036644",
            "country_code": "US",
            "telephone_number": "619-200-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "875 N Broadway",
            "address_purpose": "LOCATION",
            "city": "Massapequa",
            "state": "NY",
            "postal_code": "117582344",
            "country_code": "US",
            "telephone_number": "516-862-4136",
            "fax_number": "786-598-8612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARDA",
        "first_name": "CARRIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-03",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "130703",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "Q9793",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "C168049",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "111753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "160037153",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208567735",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rita Cannon, NURSE PRACTIONER
• Sheila Lynn Cannon, LPC
• Cape Arrowhead
• Cape Prosthetics-Orthotics, Inc.
• Taylor Capps
• Cardio Pulmonary Rehab
• Care Planning Institute, Inc
• Erika Renee Carpenter
• Joseph William Carpenter
• Shanna K Carr, LICENSED DIETICIAN

• Obstetrics & Gynecology Physician in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Obstetrics & Gynecology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.