Tatiana Carrasquilla, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

43960 Issued in AL

Practice address

2601 Dauphin Island Pkwy
Mobile, AL 36605-3472

Phone

(251) 445-3450

NPI assigned

Dec 18, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Being Well

  • Family Medicine Physician
  • Mobile, AL
  • NPI 1295425304

  Multi-Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1450396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1841655784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 DAUPHIN ISLAND PKWY",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366053472",
            "telephone_number": "251-445-3459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 DAUPHIN ISLAND PKWY",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366053472",
            "telephone_number": "251-445-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRASQUILLA",
        "first_name": "TATIANA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-18",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "125.073796",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "43960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diamond Carpenter
• Katherine Carpenter, DC
• Keelyn Carpenter, DNP, WHNP-BC
• Lawrence Jay Carpenter Jr., MD
• Matthew R Carr, MD, APN
• Brenetta M. Carraway, RPH
• Denise Lache Carroll
• Jaime Carroll, CRNP
• Kamryn Kitchens Carroll
• Mary Jana Carroll, PT

• Family Medicine Physician in Mobile, AL
• Providers in Mobile, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.