Individual provider Active NPI

Tracie Laine Carney, CNP

  • Family Nurse Practitioner
  • Alexandria, LA
National Provider Identifier
1194488148
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
219539 Issued in LA
Practice address
4801 Jackson St # B
Alexandria, LA 71303-2508
Phone
(318) 266-8656
NPI assigned
Oct 18, 2021
Last updated
Oct 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 219539 LA Primary

Addresses

Primary practice location

4801 Jackson St # B
Alexandria, LA 71303-2508

Mailing address

1192 Highway 115
Deville, LA 71328-9290
Phone (318) 419-8310

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20211201002715 LA Practitioner - Nurse Practitioner 6103216379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central la State HospitalGroup PAC ID 4981689833, 8 clinicians

Practice addresses (Care Compare)

6250 Esler Field Rd
Pineville, LA 71360
Phone (318) 484-6200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
219539LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central la State Hospital CurrentSince Jan 4, 2025 Accepting new patients
Central la State Hospital CurrentSince Jan 4, 2025 Accepting new patients

Organizations & group practices 2

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": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1194488148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1192 HIGHWAY 115",
            "city": "DEVILLE",
            "state": "LA",
            "postal_code": "713289290",
            "telephone_number": "318-419-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 JACKSON ST # B",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032508",
            "telephone_number": "318-266-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNEY",
        "first_name": "TRACIE",
        "middle_name": "LAINE",
        "name_prefix": "Miss",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "219539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.