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Lakisha Carothers, RN

Registered Nurse in Houston, TX. Individual provider (NPI-1).

NPI number1104577667
StatusActive
Last updated in NPPESJan 15, 2022

Details

NPI
1104577667
Entity type
Individual (NPI-1)
Name
Lakisha Carothers
Credential
RN
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 15, 2022
Certification date
Jan 15, 2022
Last updated
Jan 15, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse840942TXYes

Practice location

525 N Sam Houston Pkwy E Ste 360e
Houston, TX 77060-4030

Phone 832-229-3965

Mailing address

18734 Montero Ln
New Caney, TX 77357-1770

Phone 832-229-3965

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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