Carebridge Medteam, LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

CAREBRIDGE MEDTEAM, LLC

Practice address

515 N 3Rd St
Longview, TX 75601-6546

Phone

(903) 475-3474

NPI assigned

Aug 28, 2024

Last updated

May 29, 2025By 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

Lachelle Griffin

Title

Chief Human Resource Office

Phone

(769) 208-4437

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 7

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.

• Diana Jordan, FNP-C

  • Family Nurse Practitioner
  • Longview, TX
  • NPI 1982055091
  Medicare reassignment Care Compare group NPD
• Emily Christine Powers, FNP-C

  • Family Nurse Practitioner
  • Longview, TX
  • NPI 1629708946
  Medicare reassignment Care Compare group NPD
• Holly Kristina Royer, FNP-C

  • Family Nurse Practitioner
  • Longview, TX
  • NPI 1063259992
  Medicare reassignment Care Compare group NPD
• Jacquelyn Brooke Hopkins

  • Family Nurse Practitioner
  • Longview, TX
  • NPI 1134600919
  Medicare reassignment NPD
• April Luquette, FNP-C

  • Family Nurse Practitioner
  • Port Arthur, TX
  • NPI 1245921659
  Medicare reassignment NPD
• Elizabeth Ann Powell, NP

  • Family Nurse Practitioner
  • Longview, TX
  • NPI 1285134163
  Medicare reassignment NPD
• Tiffany Tyeskie, FNP-C

  • Family Nurse Practitioner
  • Longview, TX
  • NPI 1437803715

  Multi-Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1013741420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N 3RD ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756016546",
            "telephone_number": "903-475-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N 3RD ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756016546",
            "telephone_number": "903-475-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREBRIDGE MEDTEAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-28",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "LACHELLE",
        "authorized_official_title_or_position": "CHIEF HUMAN RESOURCE OFFICE",
        "authorized_official_telephone_number": "769-208-4437"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Ann Canaguier, PTA
• Gina Marie Caraway, MCD-CCC-SLP
• Traci Cardon
• Care First Physicians PA (Care First Physicians Letourneau)
• Careatc
• Richard Lee Carl Jr., APRN, FNP-C
• Carlton W Mitchell LPC (PLLC)
• Adrienne J K Carmack, MD
• Simone Carr, SLPA
• Charlene Carter, O.D.

• Nurse Practitioner in Longview, TX
• Providers in Longview, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.