Individual provider Active NPI

Thimeka Rashelle Carr, MSN

  • Family Nurse Practitioner
  • Hammond, LA
National Provider Identifier
1548032584
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
231779 Issued in LA
Practice address
30575 Old Baton Rouge Hwy
Hammond, LA 70403-8350
Phone
(225) 306-2050
Fax
(225) 567-6962
NPI assigned
Oct 24, 2023
Last updated
Oct 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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 231779 LA Primary

Addresses

Primary practice location

30575 Old Baton Rouge Hwy
Hammond, LA 70403-8350

Mailing address

PO Box 770
Zachary, LA 70791-0770
Phone (225) 306-2067

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240110002741 LA Practitioner - Nurse Practitioner 3476904871 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Community Health SystemsGroup PAC ID 4284610437, shared by 23 NPIs, 22 clinicians

Practice addresses (Care Compare)

30575 Old Baton Rouge Hwy
Hammond, LA 70403-8350
Phone 22530620672045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
231779LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Community Health Systems CurrentSince Oct 24, 2023 Accepting new patients
Southeast Community Health Systems CurrentSince Oct 24, 2023 Accepting new patients
Southeast Community Health Systems CurrentSince Oct 24, 2023 Accepting new patients
Southeast Community Health Systems Past Accepting new patients

Locations

490 Sitman St
Greensburg, LA 70441
Phone (225) 222-6059

30575 Old Baton Rouge Hwy
Hammond, LA 70403
Phone 22530620002045

336 E Railroad Ave
Independence, LA 70443
Phone (225) 306-2060

721 Avenue G
Kentwood, LA 70444
Phone (985) 229-5501

6351 Main St
Zachary, LA 70791
Phone (225) 306-2026

Organizations & group practices 4

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": "1698105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1548032584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 770",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707910770",
            "telephone_number": "225-306-2067",
            "fax_number": "225-658-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30575 OLD BATON ROUGE HWY",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704038350",
            "telephone_number": "225-306-2050",
            "fax_number": "225-567-6962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "THIMEKA",
        "middle_name": "RASHELLE",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "231779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.