Lacresha Quwanish Carson, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1019234 Issued in TX

Practice address

6213 Ryan Creek Rd
Ft Worth, TX 76179-7727

Phone

(903) 701-8032

NPI assigned

Jun 7, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Odette Louise Campbell, MD, PAGroup PAC ID 9335301829, 14 clinicians

Practice addresses (Care Compare)

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.

• Odette Louise Campbell MD PA

  • Family Medicine Physician
  • Plano, TX
  • NPI 1366750325
  Medicare reassignment Care Compare group NPD
• Wellness Elite Health Partners, LLC

  • Long-Term Care Clinical Nurse Specialist
  • Ft Worth, TX
  • NPI 1841973146
  Medicare reassignment NPD Authorized official
• Sierra Healthcare Network LLC

  • Multi-Specialty Clinic/Center
  • Dallas, TX
  • NPI 1194368266
  Medicare reassignment NPD
• Flow Health PC

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1861382004
  Medicare reassignment
• Serene Meadows Hospice, LLC

  • Community Based Hospice Care Agency
  • Arlington, TX
  • NPI 1548662604
  NPD (past)
• TJS Management, LLC

  • Community Based Hospice Care Agency
  • San Antonio, TX
  • NPI 1568808038
  NPD (past)

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1285201582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6213 RYAN CREEK RD",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761797727",
            "telephone_number": "903-701-8032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6213 RYAN CREEK RD",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761797727",
            "telephone_number": "903-701-8032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSON",
        "first_name": "LACRESHA",
        "middle_name": "QUWANISH",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "1019234",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "1019234",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1019234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Carroll, M.D.
• Carrus Behavioral Hospital LLC
• Naelyn Celeste Carruth, MSN, APRN, FNP-C
• Carson Hearing Care, LLC
• Stephanie Renee Carson Henderson, MD
• Luke Wallace Carson, M.D.
• Robin Simpson Carson, AUD
• Nico Luz Carswell, MD
• Yavierlis Odalis Cartagena Perez
• Gilda Iliana Cartaya

• Family Nurse Practitioner in Ft Worth, TX
• Providers in Ft Worth, 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 Jan 18, 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.