Carnivore Regen MD LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

CARNIVORE REGEN MD LLC

Practice address

100 Medical Center Pkwy Ste 100
Huntsville, TX 77340-4959

Phone

(346) 220-8063

NPI assigned

Dec 13, 2022

Last updated

Apr 1, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lawrence Nguyen, MDNPI 1750350567

Title

Owner

Phone

(346) 220-8063

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lawrence H. Nguyen, M.D.

  • Physical Medicine & Rehabilitation Physician
  • The Woodlands, TX
  • NPI 1750350567
  Medicare reassignment NPD Authorized official
• John Reyes, RN, MSN, ACNP

  • Acute Care Nurse Practitioner
  • The Woodlands, TX
  • NPI 1518142371
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1003527789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18723 DUKE LAKE DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773882007",
            "telephone_number": "346-220-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER PKWY STE 100",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404959",
            "telephone_number": "346-220-8063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARNIVORE REGEN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-13",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "346-220-8063",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• C a R E Management
• Christie Lyn Cahill, AU.D.
• Susan L Cain, WHCNP
• Alyssa Ruth Campbell, MS, CCC-SLP
• Kiana Ellen Cano, PH.D.
• Kelsey Carpentier
• Kristy Dawn Carroll, FNP
• Rhonda Castiglione
• Siria Marina Castro, MS, LPC, LCDC, ASOTP
• Marijo Cathey

• Physical Medicine & Rehabilitation Physician in Huntsville, TX
• Providers in Huntsville, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.