Carrie Jo Moton, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

213962 Issued in LA

Practice address

513 Washington Ave
Mansfield, LA 71052-3105

Phone

(318) 301-6627

Fax

(318) 872-7048

NPI assigned

Jun 24, 2020

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

Medicare fee-for-service enrollment

Enrolled in LA

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, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Desoto Regional Health System Hospital, Mansfield, LA, CCN 190118

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Timeless Health & Wellness

  • Family Nurse Practitioner
  • Mansfield, LA
  • NPI 1558141937
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Desoto Hospital Association

  • General Acute Care Hospital
  • Mansfield, LA
  • NPI 1467455154
  Care Compare affiliation

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1184240293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 WASHINGTON AVE",
            "city": "MANSFIELD",
            "state": "LA",
            "postal_code": "710523105",
            "telephone_number": "318-301-6627",
            "fax_number": "318-872-7048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 WASHINGTON AVE",
            "city": "MANSFIELD",
            "state": "LA",
            "postal_code": "710523105",
            "telephone_number": "318-301-6627",
            "fax_number": "318-872-7048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTON",
        "first_name": "CARRIE",
        "middle_name": "JO",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "213962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latitia Renee McDaniel
• Sheterkia Middleton
• Cynthia D Milligan, MASTER DEGREE HS
• Logan Moore, RN, MSN
• Tangela Morris
• Andrew G Murphy, DDS
• Nana's Transportation LLC
• Kishe Nelson
• Adrian Devette Newton, MHS
• Uniqua Renee Norton, PLPC

• Family Nurse Practitioner in Mansfield, LA
• Providers in Mansfield, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.