Carrie Ashleyatp, ATP 79399

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

1701 Old Minden Road
Suite 6
Bossier City, LA 71111-4849

Phone

(318) 752-2273

NPI assigned

Feb 3, 2015

Last updated

Feb 3, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Carrie Moreman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1053701664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 OLD MINDEN ROAD",
            "address_2": "SUITE 6",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711114849",
            "telephone_number": "318-752-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 OLD MINDEN ROAD",
            "address_2": "SUITE 6",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711114849",
            "telephone_number": "318-752-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHLEYATP",
        "first_name": "CARRIE",
        "credential": "ATP 79399",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-03",
        "last_updated": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATP",
            "identifier": "ATP79399",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "MOREMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Other Technician in Bossier City, LA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.