Individual provider Active NPI

Carley Lakenn Inmon

  • Student in an Organized Health Care Education/Training Program
  • Mobile, AL
National Provider Identifier
1447923651
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1313 Schillinger Rd S Apt 3114
Mobile, AL 36695-8998
Phone
(601) 554-6614
NPI assigned
Jul 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 00826 MS
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

1313 Schillinger Rd S Apt 3114
Mobile, AL 36695-8998

Mailing address

1313 Schillinger Rd S Apt 3114
Mobile, AL 36695-8998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230425002591 AL Practitioner - Physician Assistant 8224493374 Reassigns benefits to 4 organizations
I20241104003662 MS Practitioner - Physician Assistant 8224493374 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
00826MSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Mobile Urgent Care Past Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1447923651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 SCHILLINGER RD S APT 3114",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366958998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 SCHILLINGER RD S APT 3114",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366958998",
            "telephone_number": "601-554-6614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INMON",
        "first_name": "CARLEY",
        "middle_name": "LAKENN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MS",
            "license": "00826",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.