Active NPI
Karol Latonya Maclin, RN, MSN, FNP-C
- Nurse Practitioner
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 15453
- Practice address
- 1068 Cresthaven Rd Ste 250
Memphis, TN 38119-0800 - Phone
- (901) 417-1779
- NPI assigned
- Dec 13, 2010
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | A005880 | AR | |
| Nurse Practitioner | 363L00000X | 15453 | TN | Primary |
Addresses
Primary practice location
1068 Cresthaven Rd Ste 250
Memphis, TN 38119-0800
Mailing address
1251 Fleets Harbor Dr
Memphis, TN 38103-8991
Other practice location 1
609 SW 8th St Fl 6
Bentonville, AR 72712-7886
Phone (337) 991-9276
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 23.07 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 76.91
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A005880 | AR | MD | Nurse Practitioner |
| 15453 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| T M Carr MD PC | Nurse Practitioner | Current | Accepting new patients |
| M&M Healthcare Services, PLLC | Current | Accepting new patients | |
| Curana Health of Tennessee LLC | Nurse Practitioner | Current | Accepting new patients |
Locations
1509 Dulles Dr
Lafayette, LA 70506
Phone (337) 408-0803
955 N Germantown Pkwy
Cordova, TN 38018
Phone (901) 754-1393
5865 Ridgeway Center Pkwy
Memphis, TN 38120
Phone (901) 219-1295
3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200
6025 E Primacy Pkwy
Memphis, TN 38119
Phone (601) 917-2619
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 and National Provider Directory roles.
-
- Family Nurse Practitioner
- Memphis, TN
- NPI 1821452087
-
- Family Nurse Practitioner
- Memphis, TN
- NPI 1750761060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537142400000",
"number": "1851694848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1251 FLEETS HARBOR DR",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381038991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1068 CRESTHAVEN RD STE 250",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381190800",
"telephone_number": "901-417-1779"
}
],
"practiceLocations": [
{
"address_1": "609 SW 8th St Fl 6",
"address_purpose": "LOCATION",
"city": "Bentonville",
"state": "AR",
"postal_code": "727127886",
"country_code": "US",
"telephone_number": "337-991-9276",
"fax_number": "337-943-0846",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MACLIN",
"first_name": "KAROL",
"middle_name": "LATONYA",
"name_prefix": "Ms.",
"credential": "RN, MSN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-13",
"last_updated": "2018-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AR",
"license": "A005880",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "15453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Sep 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; 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.