Individual provider Active NPI

Myeshia La'Tway Carroll, DNP

  • Family Nurse Practitioner
  • Sonora, CA
National Provider Identifier
1285286419
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9270337 Issued in FL
Practice address
22044 Cedar Road
Sonora, CA 95370
Phone
(209) 928-5400
NPI assigned
Jul 9, 2019
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9270337 FL Primary
Family Nurse Practitioner 363LF0000X 95040761 CA
Family Nurse Practitioner 363LF0000X 282580 GA
Family Nurse Practitioner 363LF0000X 58983 NM

Addresses

Primary practice location

22044 Cedar Road
Sonora, CA 95370

Mailing address

PO Box 404
Pinehill, NM 87357-0404
Phone (850) 445-7499

Other practice location 1

Indian Service Rte 140 & Indian Service Rte 125
Pine Hill, NM 87357
Phone (505) 775-3271

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95040761CAMDFamily Nurse Practitioner
9270337FLMDFamily Nurse Practitioner
282580GAMDFamily Nurse Practitioner
58983NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tuolumne Me-Wuk Indian Health Center, Inc. Past Accepting new patients
Tuolumne Mewuk Indian Health Center, Inc Family Past 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": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1285286419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 404",
            "city": "PINEHILL",
            "state": "NM",
            "postal_code": "873570404",
            "telephone_number": "850-445-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22044 CEDAR ROAD",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "95370",
            "telephone_number": "209-928-5400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Indian Service Rte 140 & Indian Service Rte 125",
            "address_purpose": "LOCATION",
            "city": "Pine Hill",
            "state": "NM",
            "postal_code": "87357",
            "country_code": "US",
            "telephone_number": "505-775-3271",
            "fax_number": "505-775-3633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "MYESHIA",
        "middle_name": "LA'TWAY",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9270337",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95040761",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "282580",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "58983",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sonora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.