Laurie Anne Carrier, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036.123896 Issued in IL

Practice address

2200 W Touhy Ave
Chicago, IL 60645-3412

Phone

(773) 751-1875

NPI assigned

Apr 25, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Tapestry 360 Health

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1629217161

  Corporate Officer

  CMS ownership
• Tapestry 360 Health

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1871763375

  Corporate Director

  CMS ownership

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.

• Tapestry 360 Health

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1407981392
  NPD (past)

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248912000000",
    "number": "1669691986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 N MILWAUKEE AVE APT 403",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606476242",
            "telephone_number": "978-996-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 W TOUHY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606453412",
            "telephone_number": "773-751-1875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRIER",
        "first_name": "LAURIE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2009-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036.123896",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.123896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda K Carrico
• Carrie Jameson LCPC LLC
• Dawn Carriel
• Christian Carrier, MD
• Kathryn Tyler Carrier, MS, OTR/L
• Kaitlin Carrig, MSW, LSW
• Luis Pablo Carrilero, M.D.
• Ismael Carrillo Martin, MD
• Hugo Eduardo Carrillo NG, M.D.
• Giovanni Miguel Carrillo-Becerril, MD

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.