Active NPI
Carlee Theriot Carroll, APRN, FNP-C
- Family Nurse Practitioner
- Lake Charles, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 210944
- Practice address
- 4345 Nelson Rd Ste 101
Lake Charles, LA 70605-4183 - Phone
- (337) 480-7942
- Fax
- (337) 494-7964
- NPI assigned
- Jan 8, 2020
- Last updated
- Jun 20, 2025
- 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 | 11040195 | FL | |
| Family Nurse Practitioner | 363LF0000X | 210944 | LA | Primary |
Addresses
Primary practice location
4345 Nelson Rd Ste 101
Lake Charles, LA 70605-4183
Mailing address
PO Box 122165 Dept 2165
Dallas, TX 75312-0001
Phone (373) 494-2772
Other practice location 1
230 W Sale Rd
Lake Charles, LA 70605-2828
Phone (337) 477-5252
Other practice location 2
1717 Oak Park Blvd Fl 3
Lake Charles, LA 70601-8990
Phone (374) 944-9063
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1717 Oak Park Blvd
FL 3
Lake Charles, LA 70601-8990
Phone (337) 494-4900
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11040195 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Charles Medical Services Orthopedics Associates LLC | Current | Accepting new patients | |
| MMG Nelson Rd LLC | Past | Accepting new patients | |
| Sulphur Pediatric Clinic Medical Corporation | Past | Accepting new patients |
Locations
1717 Oak Park Blvd
Fl 3
Lake Charles, LA 70601
Phone (337) 494-4900
230 W Sale Rd
Lake Charles, LA 70605
Phone (337) 477-5252
4345 Nelson Rd
Lake Charles, LA 70605
Phone (337) 480-7900
4345 Nelson Rd
Ste 101
Lake Charles, LA 70605
Phone (337) 480-7942
Interoperability endpoints
- ccarroll5281976@direct.casso.us.com
Organizations & group practices 3
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.
-
dba Orthopaedic Specialists
- Orthopaedic Surgery Physician
- Lake Charles, LA
- NPI 1962695361
-
- General Practice Physician
- Lake Charles, LA
- NPI 1295103844
-
dba The Pediatric Center of SW LA
- Pediatrics Physician
- Sulphur, LA
- NPI 1821042086
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Digestive Health Center of SWLA
- Gastroenterology Physician
- Lake Charles, LA
- NPI 1285351411
Hospital
-
dba Rheumatology Associates
- Rheumatology Physician
- Lake Charles, LA
- NPI 1659424075
Hospital
-
dba Lake Charles Memorial Hospital
- General Acute Care Hospital
- Lake Charles, LA
- NPI 1972549855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750377600000",
"number": "1710527650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 122165 DEPT 2165",
"city": "DALLAS",
"state": "TX",
"postal_code": "753120001",
"telephone_number": "373-494-2772",
"fax_number": "337-494-2928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4345 NELSON RD STE 101",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706054183",
"telephone_number": "337-480-7942",
"fax_number": "337-494-7964"
}
],
"practiceLocations": [
{
"address_1": "230 W Sale Rd",
"address_purpose": "LOCATION",
"city": "Lake Charles",
"state": "LA",
"postal_code": "706052828",
"country_code": "US",
"telephone_number": "337-477-5252",
"fax_number": "337-502-5069",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1717 Oak Park Blvd Fl 3",
"address_purpose": "LOCATION",
"city": "Lake Charles",
"state": "LA",
"postal_code": "706018990",
"country_code": "US",
"telephone_number": "374-944-9063",
"fax_number": "337-494-4936",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARROLL",
"first_name": "CARLEE",
"middle_name": "THERIOT",
"credential": "APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-08",
"last_updated": "2025-06-20",
"certification_date": "2025-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11040195",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "210944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.