Individual provider Active NPI

Laurie Lynn Carlton, APRN, AGNP

  • Nurse Practitioner
  • Fort Smith, AR
National Provider Identifier
1205392164
Registry record updated Feb 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A006102 Issued in AR
Practice address
4600 Towson Ave Ste 101W1
Fort Smith, AR 72901-7830
Phone
(479) 226-3132
Fax
(479) 226-3136
NPI assigned
Feb 15, 2019
Last updated
Feb 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A006102 AR Primary

Addresses

Primary practice location

4600 Towson Ave Ste 101W1
Fort Smith, AR 72901-7830

Mailing address

8800 Craft Rd
Lavaca, AR 72941-5313
Phone (479) 926-4434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20190514000686 AR Practitioner - Nurse Practitioner 7517200678

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A006102ARMDNurse Practitioner

Interoperability endpoints

  • Direct secure messaging: laurie.carlton.p1@direct.veracity-benefits.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1550188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1205392164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 CRAFT RD",
            "city": "LAVACA",
            "state": "AR",
            "postal_code": "729415313",
            "telephone_number": "479-926-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 TOWSON AVE STE 101W1",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729017830",
            "telephone_number": "479-226-3132",
            "fax_number": "479-226-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLTON",
        "first_name": "LAURIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "APRN, AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-15",
        "last_updated": "2019-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A006102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.