ERIN M CARROLL (NPI# 1063415024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063415024 |
| Entity Type | Individual |
| Full Name | ERIN M CARROLL |
| Credential | NP, CNM |
| Practice Address |
792 N Main St Ste 200 North Syracuse NY 13212 |
| Mailing Address |
792 N Main St Ste 200 North Syracuse NY 13212-1644 |
| Practice Telephone | 3154588700 |
| Practice Fax Number | 3157011075 |
| Mailing Telephone | 3154588700 |
| Mailing Fax Number | 3157011075 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2019-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F343403-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
F3601371 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4811 Buckley Rd, Liverpool, NY 130883676 | 3154579966 | 3154579854 |
| 600 E Genesee St, Suite 323, Syracuse, NY 132023130 | 3154761645 | 3154765640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134764020 | Erin Lee Carroll | Physical Medicine & Rehabilitation | Mountain Center Physical Therapy, 37 Main Street, Conway, NH 03818 | 2019-11-14 |
| 1093111445 | Erin Carroll | Occupational Therapist | 540 N 67th St, Seattle, WA 98103-5312 | 2014-11-12 |
| 1750619904 | Erin Elizabeth Carroll | Social Worker | 830 N Summit St, Suite 2, Toledo, OH 43604-1884 | 2009-11-30 |
| 1083813471 | Erin May Carroll | Counselor | 1340 S. Waldron, Fort Smith, AR 72903-2556 | 2007-07-16 |
| 1811068547 | Erin Marie Carroll | Counselor | 262 Chapman Rd Ofc Plaza, The Bellevue Building Suite 100, Newark, DE 19702-5448 | 2006-11-13 |
| 1346808391 | Erin Marie Carroll | Specialist/Technologist | 100 N University St, Normal, IL 61761-4402 | 2019-06-04 |
| 1376939405 | Erin Carroll | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2015-04-15 |
| 1952678583 | Erin Carroll | Counselor | 5547 N Ravenswood Ave, Chicago, IL 60640-1125 | 2011-11-28 |
| 1891090874 | Erin Jones Carroll | Physician Assistant | 250 W Kings Hwy, Eden, NC 27288-5010 | 2011-01-21 |
| 1053560284 | Erin Carroll | Nurse Practitioner | 3901 Rainbow Blvd, Kansas City, KS 66160-0001 | 2008-09-11 |
| Street Address |
792 N MAIN ST STE 200 |
| City | NORTH SYRACUSE |
| State | NY |
| Zip Code | 13212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750845749 | Branches of Growth Mental Health Counseling, Pllc | Counselor | 3709 Brewerton Rd, Syracruse, NY 13212 | 2019-01-24 |
| 1821574070 | Nadia Marie James | Licensed Practical Nurse | 7175 Rose Wood Circle, North Syracuse, NY 13212 | 2018-07-11 |
| 1306364534 | Shonna Jolene Brodhead | Social Worker | Brightpath Counseling, 7266 Buckley Road, North Syracuse, NY 13212 | 2017-09-08 |
| 1477915189 | Karen Filapello | Speech-Language Pathologist | 320 Gateway Park Drive, @ Precision Contractors, N. Syracuse, NY 13212 | 2016-03-22 |
| 1285017095 | Lacey Foster | Skilled Nursing Facility | 5991 East Taft Rd, North Syracuse, NY 13212 | 2015-06-30 |
| 1346500345 | Wahienhawi Hall | Counselor | 7266 Buckley Rd., Bright Path Counseling Center, North Syracuse, NY 13212 | 2012-05-23 |
| 1316253768 | Jenny Barnum | Nurse Practitioner | 5232 Witz Dr, North Syracuse, NY 13212 | 2010-08-24 |
| 1063738797 | Gregory 'greg' Procopio | Registered Nurse | 308 Charlane Parkway, North Syracuse, NY 13212 | 2010-04-20 |
| 1316142243 | Carrie Marie Vincent | Specialist | 401north Main Street, North Syracuse, NY 13212 | 2007-06-20 |
| 1245307594 | Lynda Robin Kreitzer | Podiatrist | 316 South Main Street, North Syracuse, NY 13212 | 2006-11-30 |
| Find all providers in zip 13212 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558849679 | Jaime Sheffler | Nurse Practitioner | 6846 Buckley Rd Ste 1, North Syracuse, NY 13212-4270 | 2018-07-31 |
| 1760978852 | Michelle Sheldon | Nurse Practitioner | 792 N Main St Ste 200a, North Syracuse, NY 13212-1673 | 2018-07-02 |
| 1144846502 | Elizabeth A Randall | Nurse Practitioner | 6846 Buckley Rd, North Syracuse, NY 13212-4275 | 2020-06-22 |
| 1053972034 | Jennifer Cavallaro | Nurse Practitioner | 792 N Main St Ste 100b, North Syracuse, NY 13212-1661 | 2019-06-21 |
| 1952960643 | Bethanie Kala Muraski | Nurse Practitioner | 792 N Main St Ste 200a, North Syracuse, NY 13212-1673 | 2019-06-06 |
| 1912479171 | Sheri Hill | Nurse Practitioner | 5496 E Taft Rd, North Syracuse, NY 13212-3784 | 2018-12-27 |
| 1518441641 | Jane Ogunsede | Nurse Practitioner | 5496 E Taft Rd, North Syracuse, NY 13212-3784 | 2018-09-25 |
| 1700366192 | Deirdre Wahl | Nurse Practitioner | 792 N Main St Ste 100b, North Syracuse, NY 13212-1661 | 2018-08-15 |
| 1437675246 | Christopher Morris | Nurse Practitioner | 5496 E Taft Rd, North Syracuse, NY 13212-3784 | 2017-08-15 |
| 1235674193 | Xuemei Yao | Nurse Practitioner | 6846 Buckley Rd, North Syracuse, NY 13212-4275 | 2017-01-03 |
| Find all providers in NORTH SYRACUSE | ||||
| City | NORTH SYRACUSE |
| Zip Code | 13212 |
Please comment or provide details below to improve the information on ERIN M CARROLL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.