Organization Active NPI

L. Natalie Carroll, M.D. P a

  • Obstetrics & Gynecology Physician
  • Houston, TX
National Provider Identifier
1821451667
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
F2586 Issued in TX
Legal business name
L. NATALIE CARROLL, M.D. P A
Practice address
2656 S Loop W Ste 575
Houston, TX 77054-5622
Phone
(713) 667-3999
Fax
(713) 522-2247
NPI assigned
Mar 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. L Natalie Carroll, M.D. P ANPI 1467468165
Title
Owner/Physician
Phone
(713) 667-3999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X F2586 TX Primary

Addresses

Primary practice location

2656 S Loop W Ste 575
Houston, TX 77054-5622

Mailing address

2656 S Loop W
Suite 575
Houston, TX 77054-5622
Phone (713) 667-3999

Other practice location 1

5445 Almeda Road
Suite 201
Houston, TX 77004-7446
Phone (713) 667-3999

Other identifiers 2

IdentifierTypeStateIssuer
123588905MedicaidTX
1821451667OtherTXNPI

Other names 1

  • LaVerne Natalie Carroll,M.D. P A Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160516001048 TX Part B Supplier - Clinic/Group Practice 6608165659 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

2656 S Loop W
Ste 575
Houston, TX 77054
Phone (713) 237-8070

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1821451667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2656 S LOOP W",
            "address_2": "SUITE 575",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770545622",
            "telephone_number": "713-667-3999",
            "fax_number": "713-522-2247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2656 S LOOP W STE 575",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770545622",
            "telephone_number": "713-667-3999",
            "fax_number": "713-522-2247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5445 Almeda Road",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770047446",
            "country_code": "US",
            "telephone_number": "713-667-3999",
            "fax_number": "713-522-2247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "L. NATALIE CARROLL, M.D. P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-30",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "L",
        "authorized_official_middle_name": "NATALIE",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "713-667-3999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D. P A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "F2586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123588905",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1821451667",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LaVerne Natalie Carroll,M.D. P A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.