RUSSELL V. K. CARSON (NPI# 1851302996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851302996 |
| Entity Type | Individual |
| Full Name | RUSSELL V. K. CARSON |
| Practice Address |
2915 Highway 190 Mandeville LA 70471-3298 |
| Mailing Address |
Po Box 772 Minuteclinic Credentialing Woonsocket RI 02895-0784 |
| Practice Telephone | 9856268106 |
| Mailing Telephone | 4017701669 |
| Mailing Fax Number | 4016529787 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2013-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP04417 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2915 HIGHWAY 190 |
| City | MANDEVILLE |
| State | LA |
| Zip Code | 70471-3298 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962725978 | Lisa Beth Pritchett | Pharmacist | 2915 Highway 190, Mandeville, LA 70471-3298 | 2010-03-04 |
| 1528162468 | Louisiana Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2915 Highway 190, Mandeville, LA 70471-3298 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497398234 | Joshua Joseph Leblanc | Pharmacist | 541 Asbury Dr., Mandeville, LA 70471 | 2019-10-24 |
| 1700356789 | John R. Macgregor Jr. M.d. (apmc) | Non-Pharmacy Dispensing Site | 1502 West Causeway Approach, Suite D, Mandeville, LA 70471 | 2018-12-03 |
| 1619462082 | Southern Family Chiropractic, LLC | Chiropractor | 2077 North Causeway Blvd, Mandeville, LA 70471 | 2018-06-27 |
| 1518459833 | Marissa Rose Ledet Corneille | Audiologist | 1420 N Causeway Blvd., Mandeville, LA 70471 | 2018-06-01 |
| 1891285193 | Tyler Gravley | Chiropractor | 2077 N Causeway Blvd, Suite 3, Mandeville, LA 70471 | 2018-05-14 |
| 1831640259 | Trey Stokes | Nurse Anesthetist, Certified Registered | 104 West Brighton Court, Mandeville, LA 70471 | 2016-10-20 |
| 1619420759 | Erin Salerno | Counselor | 6408 Village Ln, Mandeville, LA 70471 | 2016-07-25 |
| 1699121822 | Austin Fontenot | Chiropractor | 1011 N. Caueway Blvd. Ste 28, Mandeville, LA 70471 | 2016-05-06 |
| 1578935136 | Vanessa Hadden | Social Worker | 600 Mariners Plaza, Mandeville, LA 70471 | 2015-10-22 |
| 1134590912 | Slent Investments, LLC | Clinic/Center | 1420 North Causeway Boulevard, Suite B, Mandeville, LA 70471 | 2015-10-19 |
| Find all providers in zip 70471 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306462544 | Sarah Rushing Lopez | Nurse Practitioner | 431 Steeple Pl, Mandeville, LA 70471-2578 | 2020-06-23 |
| 1437780608 | Laura Selman | Nurse Practitioner | 800 N Causeway Blvd Ste 2c, Mandeville, LA 70448-4664 | 2020-01-27 |
| 1942861364 | Lacee Moak May | Nurse Practitioner | 93 Tupelo Trce, Mandeville, LA 70471-6740 | 2019-06-26 |
| 1457852493 | Emily Carissa Knight | Nurse Practitioner | 3810 Louisiana 22, Mandeville, LA 70470 | 2018-02-26 |
| 1134551831 | Nikesha Duplessis | Nurse Practitioner | 291 Libra Ave, Unit A, Mandeville, LA 70471-2858 | 2013-08-05 |
| 1881990984 | Sarah Indian Smith | Nurse Practitioner | 2011 Red Oak Ln, Mandeville, LA 70448-6378 | 2011-02-07 |
| 1336463660 | Clay Hubble Fnp LLC | Nurse Practitioner | 69304 Prevost Rd, Mandeville, LA 70471-7702 | 2010-03-15 |
| 1043877509 | Analiese Michelle Hand | Nurse Practitioner | 201 Saint Ann Dr Ste B, Mandeville, LA 70471-3472 | 2019-05-21 |
| 1033657580 | Charlotte Michelle Fuller | Nurse Practitioner | 4430 Highway 22, Mandeville, LA 70471-3310 | 2017-02-04 |
| 1033669478 | Hospice Care of Louisiana LLC | Nurse Practitioner | 1301 W Causeway Approach, Mandeville, LA 70471-3043 | 2016-10-10 |
| Find all providers in MANDEVILLE | ||||
| City | MANDEVILLE |
| Zip Code | 70471 |
Please comment or provide details below to improve the information on RUSSELL V. K. CARSON.
| 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.