Individual provider Active NPI

Carolyn A Storck, FNP-C

  • Nurse Practitioner
  • Washington, DC
National Provider Identifier
1629040290
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
180954 Issued in NC
Practice address
3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone
(202) 444-8506
NPI assigned
Feb 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 904983 MS
Nurse Practitioner 363L00000X AP08790 LA
Nurse Practitioner 363L00000X 180954 NC Primary

Addresses

Primary practice location

3800 Reservoir Rd NW
Washington, DC 20007-2113

Mailing address

2325 N Early St
Alexandria, VA 22302-1705
Phone (703) 820-5690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060508000340 DC Practitioner - Nurse Practitioner 1557372406 Reassigns benefits to 2 organizations
I20161227000460 LA Practitioner - Nurse Practitioner 1557372406 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Belle Chasse Emergency Group LLCGroup PAC ID 7113140070, 95 clinicians

Practice addresses (Care Compare)

2500 Belle Chasse Hwy
Terrytown, LA 70056-7127
Phone (504) 392-3131

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
904983MSMDNurse Practitioner
180954NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Dec 19, 2016 Accepting new patients
Ochsner Clinic LLC CurrentSince Dec 19, 2016 Accepting new patients
Vincent Emergency Group, LLC Nurse Practitioner CurrentSince May 19, 2022 Accepting new patients
Kenner Emergency Group LLC Nurse Practitioner CurrentSince Aug 26, 2018 Accepting new patients
Inova Health Care Services CurrentSince Aug 26, 2013 Accepting new patients
Luling Emergency Group LLC Nurse Practitioner CurrentSince Jul 8, 2023 Accepting new patients
Alexandria Springfield Emergency Physicians PC CurrentSince Apr 25, 2015 Accepting new patients
Belle Chasse Emergency Group LLC Nurse Practitioner CurrentSince Jan 4, 2017 Accepting new patients
St. John Emergency Group LLC Nurse Practitioner CurrentSince Jul 8, 2023 Accepting new patients
Mayfair Emergency Group, LLC Nurse Practitioner CurrentSince Mar 25, 2022 Accepting new patients
Inova Health Care Services CurrentSince Aug 26, 2013 Accepting new patients
Alexandria Springfield Emergency Physicians PC CurrentSince Apr 25, 2015 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
St. Bernard Emergency Group, LLC Nurse Practitioner CurrentSince Mar 26, 2018 Accepting new patients
St Mary Emergency Group LLC Nurse Practitioner CurrentSince Mar 25, 2022 Accepting new patients
Alexandria Springfield Emergency Physicians PC Current Accepting new patients
Bestpractices, Inc. Past Accepting new patients

Locations

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

17000 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 752-2470

8000 W Judge Perez Dr
Chalmette, LA 70043
Phone (504) 493-6078

180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284

1900 W Airline Hwy
La Place, LA 70068
Phone (985) 652-7000

1057 Paul Maillard Rd
Luling, LA 70070
Phone (985) 785-3655

4225 Lapalco Blvd
Marrero, LA 70072
Phone (504) 391-7337

4837 Lapalco Blvd
Marrero, LA 70072
Phone (504) 703-3250

1125 Marguerite St
Morgan City, LA 70380
Phone (985) 380-4434

1514 Jefferson Hwy
New Orleans, LA 70121

25455 Highway 1
Plaquemine, LA 70764
Phone (225) 754-6870

100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131

1001 Gause Blvd
Slidell, LA 70458
Phone (985) 280-2200

2500 Belle Chasse Hwy
Terrytown, LA 70056
Phone (504) 391-5157

149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600

4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000

Interoperability endpoints

  • Direct secure messaging: cstorck405608@direct.ochsner.org

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1629040290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 N EARLY ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021705",
            "telephone_number": "703-820-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 RESERVOIR RD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072113",
            "telephone_number": "202-444-8506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORCK",
        "first_name": "CAROLYN",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "904983",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP08790",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "180954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.