Individual provider Active NPI

Sandra Carter, NP

  • Family Nurse Practitioner
  • Monroe, LA
National Provider Identifier
1740223387
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP04142 Issued in LA
Practice address
2913 Betin Ave
Monroe, LA 71201
Phone
(318) 388-1250
Fax
(318) 247-6018
NPI assigned
Jun 13, 2006
Last updated
May 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP04142 LA Primary
Emergency Medicine Physician 207P00000X AP04142 LA

Addresses

Primary practice location

2913 Betin Ave
Monroe, LA 71201

Mailing address

1507 Avon Ave
Ruston, LA 71270-4709
Phone (318) 243-3793

Other practice location 1

1953 Main St
Haynesville, LA 71038-4907
Phone (318) 624-1995

Other practice location 2

1953 Main St
Haynesville, LA 71038-4907
Phone (318) 624-1995

Other identifiers 1

IdentifierTypeStateIssuer
1141721MedicaidLA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051010000289 LA Practitioner - Nurse Practitioner 8527083534 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP04142LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bienville Parish CurrentSince Sep 19, 2024 Accepting new patients
CLHG-Winn LLC CurrentSince Apr 1, 2019 Accepting new patients
CLHG-Winn, LLC CurrentSince Apr 1, 2019 Accepting new patients
Primary Health Services Center Past Accepting new patients
Ed Physicians of West Louisiana, LLC Emergency Medicine Past Accepting new patients
Christus Health Northern Louisiana PastSince Sep 19, 2024 Accepting new patients

Locations

1175 Pine St
Arcadia, LA 71001
Phone (318) 263-4700

1175 Pine St
Ste 100
Arcadia, LA 71001
Phone (318) 263-7970

301 W Boundary Ave
Winnfield, LA 71483
Phone (318) 628-2721

301 W Boundary Ave
Ste B
Winnfield, LA 71483
Phone (318) 209-4646

Interoperability endpoints

  • Direct secure messaging: wpmscarte@yourcarecommunity.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1740223387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 AVON AVE",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712704709",
            "telephone_number": "318-243-3793",
            "fax_number": "318-247-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2913 BETIN AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "71201",
            "telephone_number": "318-388-1250",
            "fax_number": "318-247-6018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1953 Main St",
            "address_purpose": "LOCATION",
            "city": "Haynesville",
            "state": "LA",
            "postal_code": "710384907",
            "country_code": "US",
            "telephone_number": "318-624-1995",
            "fax_number": "318-624-1985",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1953 Main St",
            "address_purpose": "LOCATION",
            "city": "Haynesville",
            "state": "LA",
            "postal_code": "710384907",
            "country_code": "US",
            "telephone_number": "318-624-1995",
            "fax_number": "318-624-1985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "SANDRA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP04142",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "AP04142",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1141721",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.