Carly Lyndell Duncan

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1085983 Issued in TX

Practice address

11 Woodland Park Dr
Shepherd, TX 77371-6495

Phone

(936) 628-1100

Fax

(936) 628-1188

NPI assigned

Jun 28, 2022

Last updated

Oct 22, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Carly Lyndell Baker Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health Center of Southeast TexasGroup PAC ID 9739195041, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FIDFAA

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.

• Health Center of Southeast Texas

  dba Health Center of Southeast Texas-Shepherd

  • Federally Qualified Health Center (FQHC)
  • Cleveland, TX
  • NPI 1225059686

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Vida Y Salud-Health Systems Inc

  • Federally Qualified Health Center (FQHC)
  • Crystal City, TX
  • NPI 1770511032

  Single Specialty

  Medicare reassignment NPD
• Health Center of Southeast Texas

  dba Health Center of Southeast Texas - Liberty

  • Federally Qualified Health Center (FQHC)
  • Liberty, TX
  • NPI 1043570567

  Family

  NPD
• Health Center of Southeast Texas

  dba Health Center of Southeast Texas - Terrenos

  • Federally Qualified Health Center (FQHC)
  • Cleveland, TX
  • NPI 1265197867

  Family

  NPD

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1124750278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 N WILLIAM BARNETT AVE",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773274061",
            "telephone_number": "281-592-2224",
            "fax_number": "281-592-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 WOODLAND PARK DR",
            "city": "SHEPHERD",
            "state": "TX",
            "postal_code": "773716495",
            "telephone_number": "936-628-1100",
            "fax_number": "936-628-1188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 W. Park Drive",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "TX",
            "postal_code": "77351",
            "country_code": "US",
            "telephone_number": "936-327-4660",
            "fax_number": "936-327-4661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2206 N Cleveland St",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "TX",
            "postal_code": "775351658",
            "country_code": "US",
            "telephone_number": "936-327-4660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "871 County Road 3549",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TX",
            "postal_code": "773275882",
            "country_code": "US",
            "telephone_number": "936-327-4660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 N Travis St",
            "address_purpose": "LOCATION",
            "city": "Liberty",
            "state": "TX",
            "postal_code": "775753138",
            "country_code": "US",
            "telephone_number": "936-327-4660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "CARLY",
        "middle_name": "LYNDELL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1085983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLY",
            "last_name": "BAKER",
            "middle_name": "LYNDELL",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Betty J Charles, LPTA
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• Lauren Michel Estridge, MS, ATC, LAT
• Goodrich Isd
• Eric Demond Green
• Health Center of Southeast Texas (Health Center of Southeast Texas - Shepherd)
• Nanci Loren

• Family Nurse Practitioner in Shepherd, TX
• Providers in Shepherd, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.