Active NPI
Carla Marie Walton
- Oxygen Equipment & Supplies (DME)
- Memphis, TN
National Provider Identifier
1801449335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 191403
- Practice address
- 4747 Harvest Knoll LN
Memphis, TN 38125-4714 - Phone
- (901) 338-8367
- NPI assigned
- Jul 23, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 191403 | TN | Primary |
Addresses
Primary practice location
4747 Harvest Knoll LN
Memphis, TN 38125-4714
Mailing address
1910 Madison Ave # 2114
Memphis, TN 38104-2620
Phone (901) 338-8367
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Website | Direct | |
| CONNECT URL | cmw@hairlifeluxe.com | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 191403 | TN | MD | Oxygen Equipment & Supplies (DME) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563840000000",
"number": "1801449335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 MADISON AVE # 2114",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381042620",
"telephone_number": "901-338-8367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4747 HARVEST KNOLL LN",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381254714",
"telephone_number": "901-338-8367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTON",
"first_name": "CARLA",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-23",
"last_updated": "2019-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "TN",
"license": "191403",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Website",
"affiliation": "N",
"endpointDescription": "Confidential website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4747 Harvest Knoll Ln",
"city": "Memphis",
"state": "TN",
"country_code": "US",
"postal_code": "381254714",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "cmw@hairlifeluxe.com",
"affiliation": "N",
"endpointDescription": "Location of the endpoint",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4747 Harvest Knoll Ln",
"city": "Memphis",
"state": "TN",
"country_code": "US",
"postal_code": "381254714",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.