What is Willie Carson's NPI number?

Willie Carson's National Provider Identifier (NPI) is 1174311674, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Willie Carson's specialty?

Willie Carson is listed in the NPPES registry with a primary specialty of Attendant Care Provider (Nursing Service Related Providers).

Where is Willie Carson located?

Willie Carson's practice location on file with NPPES is 2730 Lois St # 1, Portage, IN 46368-3532.

What is Willie Carson's phone number?

The practice phone number listed in the NPPES registry for Willie Carson is (219) 654-3019.

Is Willie Carson's NPI active?

Yes — Willie Carson's NPI (1174311674) is active in the NPPES registry as of the last update on 2025-04-25.

IndividualActive

Willie Carson

NPI 1174311674 · Attendant Care Provider · Portage, IN

Willie Carson is a Attendant Care Provider provider in Portage, IN (NPI 1174311674).

Provider details

NPI number: 1174311674
Entity type: Individual
Primary specialty: Attendant Care ProviderNursing Service Related Providers
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Attendant Care ProviderPrimary3747A0650X
Nursing Service Related Providers
Personal Care Attendant3747P1801X
Nursing Service Related Providers

Profile Score

Basic profile(48/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
1 yr in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

2730 Lois St # 1

Portage, IN 46368-3532

Phone: (219) 654-3019

Fax: (219) 406-0162

Street-level locationGet directions

Mailing address