Carly Haws Henson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

220802 Issued in LA

Practice address

2511 Highway 190 E
Hammond, LA 70401-8510

Phone

(985) 543-6800

Fax

(985) 543-6801

NPI assigned

Oct 8, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

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.

• Family Health Care and Wellness Center

  • Rural Health Clinic/Center
  • Hammond, LA
  • NPI 1407128598

  Family

  Medicare reassignment NPD

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1497417299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 HIGHWAY 190 E",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704018510",
            "telephone_number": "985-543-6800",
            "fax_number": "985-543-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 HIGHWAY 190 E",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704018510",
            "telephone_number": "985-543-6800",
            "fax_number": "985-543-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSON",
        "first_name": "CARLY",
        "middle_name": "HAWS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-08",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "220802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hematology & Oncology Specialists LLC
• Frank Patrick Henchy III, MD
• Suzanna Hennington
• Craig Anthony Henry, DDS
• Nathan James Hensler, DO
• Her Aesthetics Medical Spa LLC
• Heritage Hospice LLC
• Edward Ray Hernandez Jr., MD
• Jamie N Hernandez
• Michael R. Heroman, CRNA

• Family Nurse Practitioner in Hammond, LA
• Providers in Hammond, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.