Carla Cunningham Tynes, RN

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

RN037324 Issued in LA

Practice address

460 Ashley Ridge Blvd Ste 500
Shreveport, LA 71106-7238

Phone

(318) 820-8078

NPI assigned

Aug 20, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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.

• JCT Medical Consulting

  • Medical Specialty Clinic/Center
  • Shreveport, LA
  • NPI 1205022647
  NPD

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1568074565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 ASHLEY RIDGE BLVD STE 500",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067238",
            "telephone_number": "318-820-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 ASHLEY RIDGE BLVD STE 500",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067238",
            "telephone_number": "318-820-8078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYNES",
        "first_name": "CARLA",
        "middle_name": "CUNNINGHAM",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "LA",
            "license": "RN037324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guy Williamson Twyman
• Stephen Tyer, DDS
• Cierra M. Tyndall, PA.
• Howard Wright Tyndall III, RPH
• Kelly M Tyner, PH.D.
• Joseph R. Tynes, MD
• Kerry W Tynes, MD
• Russell Wayne Tynes, MD
• Candice Stallone Tyree
• Tys Transportation LLC

• Medical-Surgical Registered Nurse in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Medical-Surgical Registered Nurse in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.