Individual Healthcare Provider
Ivy Mckenzie Carson, NP
Provider's NPPES record last updated: March 28, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1023409034
- Primary Specialty
- Nurse Practitioner — Primary Care
- Practice Location
- West Hollywood, California
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 5:33 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Primary Care
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LP2300X Nurse Practitioner
Adult Health
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LA2200XNurse Practitioner
Gerontology
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LG0600X
Provider-Reported License Information
- Nurse Practitioner (Michigan)
- 4704279990
- Nurse Practitioner (Michigan)
- 4704279990
- Nurse Practitioner (Michigan)
- 4704279990
Practice Locations
Practice Location
8550 Santa Monica Blvd Fl 2
West Hollywood, California 90069-4496
Phone: (909) 962-1260
Additional Practice Location
1729 W Tilghman St Ste 2
Allentown, Pennsylvania 18104-4158
Phone: (866) 824-3495
Additional Practice Location
330 Changebridge Rd Ste 101
Pine Brook, New Jersey 07058-9839
Phone: (866) 824-3495
Additional Practice Location
7014 13th Ave Ste 202
Brooklyn, New York 11228-1604
Phone: (866) 824-3495
Additional Practice Location
9900 Corporate Campus Dr Ste 3000
Louisville, Kentucky 40223-4060
Phone: (866) 824-3495
Additional Practice Location
1215 24th St W Ste 125
Billings, Montana 59102-3895
Phone: (866) 824-3495
Additional Practice Location
5575 S Semoran Blvd Ste 36
Orlando, Florida 32822-1782
Phone: (866) 824-3495
Additional Practice Location
336 W 1st St Ste 113
Flint, Michigan 48502-1382
Phone: (866) 824-3495
Additional Practice Location
121 S Tejon St Ste 900
Colorado Springs, Colorado 80903-2207
Phone: (866) 824-3495
Additional Practice Location
9900 Spectrum Dr
Austin, Texas 78717-4555
Phone: (866) 824-3495
Record Information
- Enumeration Date
- February 12, 2015
- Provider's NPPES Record Last Updated
- March 28, 2024
- Certification Date
- March 28, 2024
- NPISignal NPPES Dataset
- August 2026
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