Individual provider Active NPI

Raine Elizabeth Majors Carter, FNP-C

  • Family Nurse Practitioner
  • Shreveport, LA
National Provider Identifier
1548799240
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP09321 Issued in LA
Practice address
1455 E Bert Kouns Industrial Loop Ste 101
Shreveport, LA 71105-6000
Phone
(318) 798-4424
Fax
(318) 798-4450
NPI assigned
Jun 6, 2017
Last updated
Jan 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 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 AP09321 LA Primary

Addresses

Primary practice location

1455 E Bert Kouns Industrial Loop Ste 101
Shreveport, LA 71105-6000

Mailing address

1455 E Bert Kouns Industrial Loop
Shreveport, LA 71105-6000
Phone (318) 798-4539

Other practice location 1

1114 Homer Rd
Minden, LA 71055-3028
Phone (318) 798-4616

Other practice location 2

2501 Greenwood Rd
Shreveport, LA 71103-3905
Phone (318) 631-1584

Other identifiers 1

IdentifierTypeStateIssuer
2450727MedicaidLA

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
I20170710002776 LA Practitioner - Nurse Practitioner 4082983820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highland Clinic, a Prof Med CorpGroup PAC ID 3870493463, 60 clinicians

Practice addresses (Care Compare)

1455 E Bert Koun Loop
Shreveport, LA 71105-5634
Phone (318) 798-4539

1455 E Bert Kouns
Shreveport, LA 71105-5634

1455 E Bert Kouns Industrial Loop
Shreveport, LA 71105-5634

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.6 of 100Reported as group
Quality
58.23
Promoting interoperability
97
Improvement activities
40
Cost
72.94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP09321LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Clinic, a Prof Med Corp CurrentSince Jun 19, 2021 Accepting new patients
Highland Clinic, a Prof Med Corp CurrentSince Jun 19, 2021 Accepting new patients

Locations

1114 Homer Rd
Minden, LA 71055
Phone (318) 371-1395

1455 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 300-3643

1455 E Bert Kouns Industrial Loop
#101
Shreveport, LA 71105
Phone (318) 798-4424

1455 E Bert Kouns Industrial Loop
Ste 101
Shreveport, LA 71105
Phone (318) 798-4424

2501 Greenwood Rd
Shreveport, LA 71103
Phone (318) 631-1584

Interoperability endpoints

  • Direct secure messaging: minrmarti@yourcarecommunity.org

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1548799240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 E BERT KOUNS INDUSTRIAL LOOP",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711056000",
            "telephone_number": "318-798-4539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 E BERT KOUNS INDUSTRIAL LOOP STE 101",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711056000",
            "telephone_number": "318-798-4424",
            "fax_number": "318-798-4450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1114 Homer Rd",
            "address_purpose": "LOCATION",
            "city": "Minden",
            "state": "LA",
            "postal_code": "710553028",
            "country_code": "US",
            "telephone_number": "318-798-4616",
            "fax_number": "318-798-4619",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 Greenwood Rd",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711033905",
            "country_code": "US",
            "telephone_number": "318-631-1584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "RAINE",
        "middle_name": "ELIZABETH MAJORS",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-06",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2450727",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.