Provider Demographics
NPI:1336830660
Name:K. CARRIER FAMILY CARE, LLC
Entity type:Organization
Organization Name:K. CARRIER FAMILY CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROVIDER/FNP-C
Authorized Official - Prefix:
Authorized Official - First Name:KATELYN
Authorized Official - Middle Name:F
Authorized Official - Last Name:CARRIER
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:337-279-5743
Mailing Address - Street 1:PO BOX 41
Mailing Address - Street 2:
Mailing Address - City:ELTON
Mailing Address - State:LA
Mailing Address - Zip Code:70532
Mailing Address - Country:US
Mailing Address - Phone:337-279-5743
Mailing Address - Fax:337-279-5701
Practice Address - Street 1:1510 MAIN STREET
Practice Address - Street 2:
Practice Address - City:ELTON
Practice Address - State:LA
Practice Address - Zip Code:70532
Practice Address - Country:US
Practice Address - Phone:337-279-5743
Practice Address - Fax:337-279-5701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-17
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA3027110Medicaid