Individual provider Active NPI

Lakisha Carothers, RN

  • Registered Nurse
  • Houston, TX
National Provider Identifier
1104577667
Registry record updated Jan 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
840942 Issued in TX
Practice address
525 N Sam Houston Pkwy E Ste 360E
Houston, TX 77060-4030
Phone
(832) 229-3965
NPI assigned
Jan 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 840942 TX Primary

Addresses

Primary practice location

525 N Sam Houston Pkwy E Ste 360E
Houston, TX 77060-4030

Mailing address

18734 Montero LN
New Caney, TX 77357-1770
Phone (832) 229-3965

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
840942TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Lab Check Solutions CurrentSince Jan 26, 2022 Accepting new patients

Locations

525 N Sam Houston Pkwy E
Ste 360E
Houston, TX 77060
Phone (832) 229-3965

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1642204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642204800000",
    "number": "1104577667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18734 MONTERO LN",
            "city": "NEW CANEY",
            "state": "TX",
            "postal_code": "773571770",
            "telephone_number": "832-229-3965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N SAM HOUSTON PKWY E STE 360E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770604030",
            "telephone_number": "832-229-3965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAROTHERS",
        "first_name": "LAKISHA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-15",
        "last_updated": "2022-01-15",
        "certification_date": "2022-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "840942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.