Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dalton Robert Carroll, FNP-C

Individual provider Family Nurse Practitioner · NPI 1376115212

Dalton Robert Carroll, FNP-C is a Nurse Practitioner in Shreveport, Louisiana. Qualified in 2021, 5 years ago. Practices with Cross Lake Emergency Group, LLC, a 57-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
5
Licensed in
LA
In the registry since
2021
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

8445 Line Ave
Shreveport, LA 71106-5925
Phone: (318) 703-5655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 220441 (LA)

Record details

NPI number1376115212
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJuly 12, 2021
Last updated in NPPESJuly 12, 2021
Certification dateJune 11, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Cross Lake Emergency Group, Llc — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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