Timeless Health & Wellness

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

TIMELESS HEALTH & WELLNESS

Practice address

513 Washington Ave
Mansfield, LA 71052-3105

Phone

(318) 301-6627

Fax

(318) 872-7048

NPI assigned

Oct 3, 2023

Organization subpart

No

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

Authorized official

Name

Carrie Jo Moton, FNPNPI 1184240293

Title

Owner/Director

Phone

(318) 301-6627

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carrie Jo Moton, FNP-BC

  • Family Nurse Practitioner
  • Mansfield, LA
  • NPI 1184240293
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1558141937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 WASHINGTON AVE",
            "city": "MANSFIELD",
            "state": "LA",
            "postal_code": "710523105",
            "telephone_number": "318-301-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 WASHINGTON AVE",
            "city": "MANSFIELD",
            "state": "LA",
            "postal_code": "710523105",
            "telephone_number": "318-301-6627",
            "fax_number": "318-872-7048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMELESS HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-03",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "MOTON",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "318-301-6627",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Shaneka Thomas
• Tamekia Thomas
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• Tiffany Nicole Toliver, LMSW
• Eria-Liana Turner
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• Family Nurse Practitioner in Mansfield, LA
• Providers in Mansfield, 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 Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.