Active NPI
Carlton Otis Noble, REGISTERED NURSE
- Registered Nurse
- Monroe, LA
National Provider Identifier
1679695969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN103673
- Practice address
- 2100 Oliver Rd
Oakhaven CMHC of Monroe
Monroe, LA 71201 - Phone
- (318) 329-9455
- Fax
- (318) 329-9492
- NPI assigned
- Apr 6, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN103673 | LA | Primary |
Addresses
Primary practice location
2100 Oliver Rd
Oakhaven CMHC of Monroe
Monroe, LA 71201
Mailing address
211 Winniger Rd
Downsville, LA 71234
Phone (318) 644-2443
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 |
|---|---|---|---|
| RN103673 | LA | MD | Registered Nurse |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- West Monroe, LA
- NPI 1750482469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679695969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 WINNIGER RD",
"city": "DOWNSVILLE",
"state": "LA",
"postal_code": "71234",
"telephone_number": "318-644-2443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 OLIVER RD",
"address_2": "OAKHAVEN CMHC OF MONROE",
"city": "MONROE",
"state": "LA",
"postal_code": "71201",
"telephone_number": "318-329-9455",
"fax_number": "318-329-9492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOBLE",
"first_name": "CARLTON",
"middle_name": "OTIS",
"name_prefix": "Mr.",
"credential": "REGISTERED NURSE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "LA",
"license": "RN103673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.