Carrie Ivery

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

009416037 Issued in LA

Practice address

2816 Cambridge Dr
La Place, LA 70068-2206

Phone

(504) 402-5641

NPI assigned

Oct 5, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Loving Hearts Transportation Services LLC

  • Ambulatory Family Planning Facility
  • La Place, LA
  • NPI 1922730191
  NPD Authorized official
• Loving Hearts Transportation Services LLC

  • Non-emergency Medical Transport (VAN)
  • La Place, LA
  • NPI 1942995915
  NPD Authorized official

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1669134896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2816 CAMBRIDGE DR",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700682206",
            "telephone_number": "504-402-5641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2816 CAMBRIDGE DR",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700682206",
            "telephone_number": "504-402-5641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVERY",
        "first_name": "CARRIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "LA",
            "license": "009416037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9373",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Innovative Approaches Counseling Center
• Intergrated Management Solutions LLC
• Interlink Health Care Service Inc
• Interlink Homeand Community Based Waiver
• Tonoka Isaac
• Jabours Personal Health Care
• Jabours Personal Health Care LLC
• Jack P Newell DDS a Professioal Corporation
• Frankie J Jackson
• Gabrielle Jackson

• Adult Medicine Physician in La Place, LA
• Providers in La Place, LA by specialty
• Adult Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.

Verify at the official NPI Registry.