Carolyn Owen

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

305 E Mississippi Ave Ste 1
Ruston, LA 71270-3905

Phone

(318) 202-3706

NPI assigned

Jun 21, 2022

Sex

Female

Sole proprietor

No

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, last updated by the provider on Jun 21, 2022.

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1073244166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CHINABERRY DR STE 900",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112455",
            "telephone_number": "318-202-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E MISSISSIPPI AVE STE 1",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712703905",
            "telephone_number": "318-202-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "CAROLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danyelle McDaniel Oneal
• Orthopaedic Clinic of Monroe
• David Christian Osafo, M.D.
• Shequea Overall
• Ashley Elizabeth Owen, LPC
• Rita Katheryn Owen, LCSW, ACSW
• Randy Wayne Owers, PHARMD
• Alena Kathryn Pace
• Pafford Emergency Medical Services, Inc.
• Pamela Laster, NTS, LMT, Ads

• All providers in Ruston, LA
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.