Active NPI
Caroline Marie Dozert, NURSE PRACTITIONER
- Family Nurse Practitioner
- Prairieville, LA
National Provider Identifier
1619640422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-185957
- Practice address
- 18069 Billy Blvd
Prairieville, LA 70769-5663 - Phone
- (225) 413-7188
- NPI assigned
- Jul 28, 2021
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 215964 | LA | |
| Family Nurse Practitioner | 363LF0000X | 1-185957 | AL | Primary |
Addresses
Primary practice location
18069 Billy Blvd
Prairieville, LA 70769-5663
Mailing address
18069 Billy Blvd
Prairieville, LA 70769-5663
Phone (225) 413-7188
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-185957 | AL | MD | Family Nurse Practitioner |
| 215964 | LA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627430400000",
"number": "1619640422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18069 BILLY BLVD",
"city": "PRAIRIEVILLE",
"state": "LA",
"postal_code": "707695663",
"telephone_number": "225-413-7188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18069 BILLY BLVD",
"city": "PRAIRIEVILLE",
"state": "LA",
"postal_code": "707695663",
"telephone_number": "225-413-7188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOZERT",
"first_name": "CAROLINE",
"middle_name": "MARIE",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-28",
"last_updated": "2021-07-28",
"certification_date": "2021-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "215964",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-185957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prairieville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.