Individual provider Active NPI

Carine Laure Djuidje, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1063034320
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1-152481 Issued in AL
Practice address
4371 Narrow Lane Rd Ste 205
Montgomery, AL 36116-2975
Phone
(334) 747-7780
Fax
(334) 747-7790
NPI assigned
May 9, 2020
Last updated
Jan 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X PENDING AL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1-152481 AL Primary

Addresses

Primary practice location

4371 Narrow Lane Rd Ste 205
Montgomery, AL 36116-2975

Mailing address

301 Brown Springs Rd
Montgomery, AL 36117-7005
Phone (334) 747-4159

Other practice location 1

4385 Narrow Lane Rd
Montgomery, AL 36116-2978
Phone (334) 747-3116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200730002470 AL Practitioner - Nurse Practitioner 8325463805 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83 of 100Reported as group
Quality
64.43
Promoting interoperability
100
Improvement activities
40
Cost
78.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
PENDINGALMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Dec 1, 2021 Accepting new patients
The Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Dec 1, 2021 Accepting new patients
Holistic Behavioral Healthcare LLC Psychiatric/Mental Health CurrentSince Nov 14, 2023 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Current Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Past Accepting new patients
The Health Care Authority for Baptist Health Past Accepting new patients
The Health Care Authority for Baptist Health Past Accepting new patients

Locations

2055 E South Blvd
Ste 200
Montgomery, AL 36116
Phone (334) 284-5211

2055 E South Blvd
Ste 308
Montgomery, AL 36116
Phone (334) 286-2390

301 Brown Springs Rd
Montgomery, AL 36117
Phone (334) 273-4159

4371 Narrow Lane Rd
Ste 205
Montgomery, AL 36116
Phone (334) 323-3307

4385 Narrow Lane Rd
Montgomery, AL 36116
Phone (334) 286-3116

1721 Broad St
Selma, AL 36701
Phone (513) 238-0267

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1588982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1063034320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BROWN SPRINGS RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177005",
            "telephone_number": "334-747-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4371 NARROW LANE RD STE 205",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162975",
            "telephone_number": "334-747-7780",
            "fax_number": "334-747-7790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4385 Narrow Lane Rd",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361162978",
            "country_code": "US",
            "telephone_number": "334-747-3116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DJUIDJE",
        "first_name": "CARINE",
        "middle_name": "LAURE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-09",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-152481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.