Individual provider Active NPI

Laura Elizabeth Carroll, CRNP

  • Family Nurse Practitioner
  • Minnetonka, MN
National Provider Identifier
1457839342
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-155547 Issued in AL
Practice address
9900 Bren Rd E
Minnetonka, MN 55343-9603
Phone
(952) 936-1300
NPI assigned
Aug 1, 2018
Last updated
Aug 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-155547 AL Primary

Addresses

Primary practice location

9900 Bren Rd E
Minnetonka, MN 55343-9603

Mailing address

244 Wes Ashley Dr
Meridianville, AL 35759-2286
Phone (256) 762-9982

Other names 1

  • Ms. Laura Elizabeth Shepherd Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20181121002250 AL Practitioner - Nurse Practitioner 9133473515 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
QC Wellness, LLC CurrentSince Aug 13, 2018 Accepting new patients
Quick Care Urgent, LLC CurrentSince Sep 19, 2018 Accepting new patients
Neurology and Neurodiagnostics of Alabama, LLC CurrentSince Dec 2, 2019 Accepting new patients
Quickcare RX LLC Past Accepting new patients
QC Pharmacy LLC Past Accepting new patients

Locations

1000 Southlake Park
#200
Hoover, AL 35244
Phone (205) 536-8736

202 Governors Dr SE
Huntsville, AL 35801
Phone (256) 517-8317

7500 Highway 72 W
Madison, AL 35758
Phone (256) 517-8317

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17530/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1457839342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 WES ASHLEY DR",
            "city": "MERIDIANVILLE",
            "state": "AL",
            "postal_code": "357592286",
            "telephone_number": "256-762-9982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 BREN RD E",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553439603",
            "telephone_number": "952-936-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "LAURA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-01",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-155547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "SHEPHERD",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Minnetonka, MN

Sources for this page

Verify at the official NPI Registry.