Individual provider Active NPI

Tawana R Carmouche, LOTR

  • Occupational Therapist
  • Pineville, LA
National Provider Identifier
1447438643
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
Z11404 Issued in LA
Practice address
135 Woodwind LN
Pineville, LA 71360-7748
Phone
(318) 484-2023
Fax
(318) 484-2023
NPI assigned
Feb 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Z11404 LA Primary

Addresses

Primary practice location

135 Woodwind LN
Pineville, LA 71360-7748

Mailing address

135 Woodwind LN
Pineville, LA 71360-7748
Phone (318) 484-2023

Other identifiers 1

IdentifierTypeStateIssuer
1474754MedicaidLA

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
Z11404LAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202688000000",
    "number": "1447438643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 WOODWIND LN",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713607748",
            "telephone_number": "318-484-2023",
            "fax_number": "318-484-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 WOODWIND LN",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713607748",
            "telephone_number": "318-484-2023",
            "fax_number": "318-484-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMOUCHE",
        "first_name": "TAWANA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "LOTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "Z11404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1474754",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pineville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.