CAROL L MACCALLUM NP NPI 1477570455

NPI Information

NPI: 1477570455
Provider Name: CAROL L MACCALLUM, NP
Classification: Nurse Practitioner - 363LF0000X
Specialization: Family
Entity Type: Individual
Address: 4606 GRAY WOLF LN
CASTLE ROCK, CO
ZIP 80104
Phone: (720) 767-4686

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NPI Details

Carol L Maccallum, NP is a family nurse practitioner in Castle Rock, CO. Carol L Maccallum, NP NPI is 1477570455. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4606 GRAY WOLF LN
CASTLE ROCK, CO
ZIP 80104-570
Phone: (720) 767-4686

The enumeration date for this NPI number is 7/16/2006 and was last updated on 2/12/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	4174	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	91082056	MEDICAID	COLORADO
2	C-APN4174	OTHER	COLORADO	STATE NP LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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