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1174776116 NPI number — CARRIE BHAVSAR MS, FNP-BC

NPI Number: 1174776116
Health Care Provider/Practitioner: CARRIE BHAVSAR MS, FNP-BC

Information about “1174776116” NPI (CARRIE BHAVSAR MS, FNP-BC) exists in 1174776116 in HTML format HTML  |  1174776116 in plain Text format TXT  |  1174776116 in PDF (Portable Document Format) PDF  |  1174776116 in an XML format XML  formats.

NPI Number : 1174776116 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1174776116",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BHAVSAR",
    "FirstName": "CARRIE",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MS, FNP-BC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2586 S I-35 FRONTAGE ROAD",
    "SecondLineMailingAddress": "SUITE 108",
    "MailingAddressCityName": "SAN MARCOS",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78666",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "737-276-1872",
    "MailingAddressFaxNumber": "737-200-8244",
    "FirstLinePracticeLocationAddress": "2586 S I-35 FRONTAGE ROAD",
    "SecondLinePracticeLocationAddress": "SUITE 108",
    "PracticeLocationAddressCityName": "SAN MARCOS",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78666",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "737-276-1872",
    "PracticeLocationAddressFaxNumber": "737-200-8244",
    "EnumerationDate": "11/03/2008",
    "LastUpdateDate": "12/22/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": "AP132576",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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