CARRIE JO MOTON (NPI# 1184240293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184240293 |
Entity Type | Individual |
Full Name | CARRIE JO MOTON |
Credential | FNP-BC |
Practice Address |
149 Stone Creek Rd Stonewall LA 71078-4906 |
Practice Telephone | 3186883350 |
Practice Fax Number | 3183004449 |
Mailing Telephone | 3186883350 |
Mailing Fax Number | 3183004449 |
Enumeration Date | 2020-06-24 |
Last Update Date | 2020-06-24 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
213962 | LA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
149 STONE CREEK RD |
City | STONEWALL |
State | LA |
Zip Code | 71078-4906 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982033858 | Stonewall Family Pharmacy | Pharmacy | 160 Stonecreek Dr, Suite C, Stonewall, LA 71078 | 2013-11-01 |
1508029570 | Emily Carol Ryan Cristler | Physical Therapist | 2070 Highway 171 Ste C, Stonewall, LA 71078 | 2008-07-09 |
1144422650 | Panakeia Health Services, L.L.C. | Psychiatric Hospital | 960 Hwy. 171 South, Stonewall, LA 71078 | 2007-06-05 |
1851849293 | Lejasmine Hall | Counselor | 671 Hwy 171 Suite C, Stonewall, LA 71078 | 2016-09-14 |
1649810870 | Robin Carroll | Counselor | 283 Sandpiper Ln, Stonewall, LA 71078-2805 | 2020-01-15 |
1720434137 | D N L Outpatient Rehab, LLC | Community/Behavioral Health | 671 Hwy 171 Suite C, Stonewall, LA 71078-3312 | 2016-05-04 |
1053705814 | Ltc Specialty | Pharmacy | 2068 Highway 171, Suite 5, Stonewall, LA 71078-3905 | 2015-03-19 |
1093177263 | Lucy Smith | Counselor | 327 Lesa Ln, Stonewall, LA 71078-4405 | 2016-03-25 |
1952634818 | Holly Renee' Russo | Registered Nurse | 158 Tanner St, Stonewall, LA 71078-4455 | 2009-09-10 |
1013429661 | Megan Brooke English | Family Medicine | 160 Stone Creek Rd, Stonewall, LA 71078-4906 | 2017-11-03 |
Find all providers in zip 71078 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
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1568061950 | Kecia Clark | Nurse Practitioner | 3009 Englewood Dr, Jennings, LA 70546-3266 | 2020-10-19 |
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1730786377 | Catherine Newman | Nurse Practitioner | 27124 La-42, Springfield, LA 70462 | 2020-10-07 |
1447857636 | Ashley Norsworthy | Nurse Practitioner | 2600 Tower Dr Ste 216, Monroe, LA 71201-5783 | 2020-10-01 |
1629684923 | On -demand Healthcare of Louisiana LLC | Nurse Practitioner | 12109 Hampton Village Ave, Baton Rouge, LA 70818-5741 | 2020-09-22 |
1528674280 | Acadiana Wound & Ostomy On Wheels | Nurse Practitioner | 218 Division Street, Krotz Springs, LA 70750 | 2020-09-18 |
1841806775 | Shelia M Reliford | Nurse Practitioner | 3928 Balcom St, Shreveport, LA 71109-5004 | 2020-09-16 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.