PAMELA CARROLL (NPI# 1235440074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235440074 |
| Entity Type | Individual |
| Full Name | PAMELA CARROLL |
| Credential | ARNP |
| Practice Address |
439 Sw Michigan St Lake City FL 32025-0440 |
| Mailing Address |
4004 Sw 180th St Newberry FL 32669-4739 |
| Practice Telephone | 3864870800 |
| Mailing Telephone | 3522625914 |
| Enumeration Date | 2010-06-26 |
| Last Update Date | 2017-02-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
ARNP2831112 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881924850 | Pamela R Carroll | Marriage & Family Therapist | 2141 N Cleveland Ave, Chicago, IL 60614-4508 | 2010-01-13 |
| 1992248322 | Pamela Carroll | Technician/Technologist | 516 Westgate Dr, Brockton, MA 02301-1816 | 2016-12-03 |
| 1194119735 | Pamela Carroll | Developmental Therapist | 16 Degrandpre Way, Suite 200, Plattsburgh, NY 12901-6451 | 2015-03-21 |
| 1144482506 | Pamela T Carroll | Obstetrics & Gynecology | 1200 Old York Rd, Department of Ob/gyn, Abington, PA 19001-3720 | 2008-06-26 |
| 1760594394 | Pamela Elaine Carroll | Social Worker | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2006-08-31 |
| Street Address |
439 SW MICHIGAN ST |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32025-0440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548249360 | Anton Frans Kootte | Social Worker | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2006-01-11 |
| 1689275216 | Shawnta Walker | Counselor | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2020-11-02 |
| 1790384287 | Stormy B Waldron | Registered Nurse | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2020-10-26 |
| 1639778038 | Tyesha L Foster | Nurse's Aide | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2020-10-19 |
| 1831797919 | Sylvia Vg Youngblood | Nurse's Aide | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2020-10-12 |
| 1831797034 | Brittany L Ford | Nurse's Aide | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2020-10-12 |
| 1063019909 | Sade Debra Law | Counselor | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2020-10-05 |
| 1184231060 | Jennifer P Moon | Counselor | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2020-09-25 |
| 1326653833 | Aloralee D Avery | Nurse's Aide | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2020-09-11 |
| 1225641236 | Jalisa D Middleton | Counselor | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2020-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801438353 | Jennifer Bennett | Pharmacist | 347 Sw Main Blvd Suite 102, Lake City, FL 32025 | 2019-10-16 |
| 1700352838 | Robert J Sansouci IIi IIi | Physical Therapy Assistant | 560 Sw Mcfarlane Ave, Lake City, Fl, 32025, Lake City, FL 32025 | 2018-10-16 |
| 1316442783 | Emily Bailey | Developmental Therapist | 2126 Sw Sisters Welcome Rd, Lake City, FL 32025 | 2018-03-28 |
| 1811446370 | Michelle Hart | Behavioral Analyst | 260 S. Marion Avenue, Bldg. A, Suite 135, Lake City, FL 32025 | 2016-09-26 |
| 1922467646 | Irene Aponte Moreno | Nurse Practitioner | 440 Sw Perimeter Glen, Lake City, FL 32025 | 2016-02-23 |
| 1093186777 | Decarlos Scippio | Counselor | 619 Sw Baya Drive Suite 102, Lake City, FL 32025 | 2015-10-07 |
| 1497132476 | Jamecia Legree | Registered Nurse | 800 Sw Symphony Loop, Bldg 15 Apt 204, Lake City, FL 32025 | 2015-04-29 |
| 1306249149 | Mercy Home Assisted Living Facility LLC | Assisted Living Facility | 184 S.e. Beech Street, Lake City, FL 32025 | 2014-10-08 |
| 1598174344 | Karen Mcdonald | Developmental Therapist | 4523 Se County Road 252, Lake City, FL 32025 | 2014-08-06 |
| 1275944126 | Mohammad Ali Faisal Mdpa | Specialist | 1283 Sw State Rd 47, Ste 104, Lake City, FL 32025 | 2014-05-14 |
| Find all providers in zip 32025 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255979761 | L L Nurse Practitioner Consutling LLC Ll Aesthethics LLC | Nurse Practitioner | 165 Sw Vision Gln, Lake City, FL 32025-1111 | 2019-12-16 |
| 1497864201 | Cheryl Toppa | Nurse Practitioner | 619 S Marion Ave, Lake City, FL 32025-5808 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336832 | Marco Desouza | Nurse Practitioner | 10235 Avelar Ridge Dr, Riverview, FL 33578-7560 | 2020-11-02 |
| 1457950107 | Janet Rosemarie Walker | Nurse Practitioner | 9988 Sw 38th Ave, Ocala, FL 34476-4082 | 2020-10-23 |
| 1104425800 | Vijayalakshmi Kumaraguru | Nurse Practitioner | 102 Park Place Blvd Ste D1, Kissimmee, FL 34741-2358 | 2020-10-22 |
| 1356940217 | Smitha Ajesh | Nurse Practitioner | 9833 Westview Dr Apt 829, Coral Springs, FL 33076-2537 | 2020-10-21 |
| 1457959066 | Kecia Hicks | Nurse Practitioner | 691 Institution Rd, Defuniak Springs, FL 32433-1850 | 2020-10-15 |
| 1699372003 | Rosie Michel | Nurse Practitioner | 13000 Ne 12th Ave, North Miami, FL 33161-4305 | 2020-10-08 |
| 1952908352 | Karen Weinstock | Nurse Practitioner | 7148 Sportsmans Dr, North Lauderdale, FL 33068-5456 | 2020-10-08 |
| 1396342754 | Pamela Ziel | Nurse Practitioner | 545 Lakeside Cir, Sunrise, FL 33326-2136 | 2020-10-07 |
| 1922615608 | Urszula Dorfman | Nurse Practitioner | 1 Las Olas Cir Apt 609, Fort Lauderdale, FL 33316-1634 | 2020-09-28 |
| 1073129136 | Karen Harris | Nurse Practitioner | 28211 Church Rd, Brooksville, FL 34602-6232 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
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| 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.