Active NPI
Carolyn Louise Albin-Davenport, FNP-C
- Nurse Practitioner
- Hammond, LA
National Provider Identifier
1578606299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP02871
- Practice address
- 15790 Paul Vega MD Dr
Finance Department
Hammond, LA 70403-1434 - Phone
- (985) 230-1682
- Fax
- (985) 230-1617
- NPI assigned
- Feb 14, 2007
- Last updated
- Dec 10, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP02871 | LA | Primary |
| Registered Nurse | 163W00000X | RN058607 | LA |
Addresses
Primary practice location
15790 Paul Vega MD Dr
Finance Department
Hammond, LA 70403-1434
Mailing address
PO Box 2668
Hammond, LA 70404-2668
Phone (985) 230-1332
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1531782 | Medicaid | LA |
Other names 1
- Carolyn Louise Albin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN058607 | LA | MD | Registered Nurse |
| AP02871 | LA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Med Care, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinic/Center
- Mandeville, LA
- NPI 1013053032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386633600000",
"number": "1578606299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2668",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704042668",
"telephone_number": "985-230-1332",
"fax_number": "985-230-1334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15790 PAUL VEGA MD DR",
"address_2": "FINANCE DEPARTMENT",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704031434",
"telephone_number": "985-230-1682",
"fax_number": "985-230-1617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALBIN-DAVENPORT",
"first_name": "CAROLYN",
"middle_name": "LOUISE",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-14",
"last_updated": "2013-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "LA",
"license": "AP02871",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "LA",
"license": "RN058607",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1531782",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CAROLYN",
"last_name": "ALBIN",
"middle_name": "LOUISE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Hammond, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.