Individual provider Active NPI

Karol Latonya Maclin, RN, MSN, FNP-C

  • Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1851694848
Registry record updated Sep 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
15453 Issued in TN
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

Updated by the provider on Sep 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110310000710 TN Practitioner - Nurse Practitioner 7012199110 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
23.07 of 100Reported as individual
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

LicenseStateTypeSpecialty
A005880ARMDNurse Practitioner
15453TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
T M Carr MD PC Nurse Practitioner CurrentSince Oct 1, 2013 Accepting new patients
M&M Healthcare Services, PLLC CurrentSince Feb 18, 2016 Accepting new patients
Curana Health of Tennessee LLC Nurse Practitioner CurrentSince Aug 1, 2015 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.

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

Verify at the official NPI Registry.