BRANDI CARROLL (NPI# 1235507294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235507294 |
Entity Type | Individual |
Full Name | BRANDI CARROLL |
Credential | CRNP |
Practice Address |
2395 Garden Way Suite 102 Hermitage PA 16148-5209 |
Practice Telephone | 7249811777 |
Mailing Telephone | 7249811777 |
Enumeration Date | 2015-09-08 |
Last Update Date | 2016-06-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP015260 | PA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326296864 | Brandi Carroll | Registered Nurse | 2011 Church St Lowr Level, Nashville, TN 37203-2000 | 2008-09-08 |
Street Address |
2395 GARDEN WAY SUITE 102 |
City | HERMITAGE |
State | PA |
Zip Code | 16148-5209 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457334997 | Valeri Lynn Roth | Otolaryngology | 2395 Garden Way, Hermitage, PA 16148-5209 | 2005-11-29 |
1972086262 | Benjamin Michael Armando | Physician Assistant | 2395 Garden Way, Hermitage, PA 16148-5209 | 2018-09-12 |
1871047050 | Malyn Hart | Physician Assistant | 2395 Garden Way, Hermitage, PA 16148-5209 | 2016-08-05 |
1710316583 | Valeri L Roth D O P C | Otolaryngology | 2395 Garden Way, Hermitage, PA 16148-5209 | 2013-11-02 |
1831407196 | Laura Louise Dejulia | Nurse Practitioner | 2395 Garden Way, Hermitage, PA 16148-5209 | 2010-09-21 |
1073540217 | Catherine A Gutowski | Nurse Practitioner | 2395 Garden Way, Hermitage, PA 16148-5209 | 2006-06-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518571165 | Cassandra L Holder | Physical Therapist | 1559 N. Hermitage Rd, Hermitage, PA 16148 | 2020-09-01 |
1750927190 | Hermitage Endoscopy Center Inc | Clinic/Center | 949 N Hermitage Road, Hermitage, PA 16148 | 2019-11-20 |
1336791318 | Catlyn Marie Joseph | Pharmacist | 1851 East State St, Rite Aid Store #10995, Hermitage, PA 16148 | 2019-07-10 |
1386203107 | Kaitlyn Mostard-smith | Physical Therapist | 1599 N. Hermitage Rd., Hermitage, PA 16148 | 2019-06-06 |
1770001513 | Lee Ann Hougelman | Licensed Practical Nurse | 5454 E. State St., Hermitage, PA 16148 | 2017-08-31 |
1194245001 | Samantha C Kilar | Audiologist | 1623 Dutch Lane, Hermitage, PA 16148 | 2017-06-21 |
1538419197 | Sharon Lynn Taylor | Physician Assistant | 480 N Kerrwood Dr Ste 103, Hermitage, PA 16148 | 2012-09-11 |
1912289638 | Amanda Jo Kline | Physical Therapy Assistant | 260 S Buhl Farm Drive, Whispering Oaks Suite 326, Hermitage, PA 16148 | 2011-09-20 |
1447548573 | Robert Joseph Jackson | Licensed Practical Nurse | 5454 East State St, Hermitage, PA 16148 | 2011-07-11 |
1386974673 | Susan Dawn Mehallick | Specialist/Technologist | 1005 Campus Circle, Hermitage, PA 16148 | 2010-01-08 |
Find all providers in zip 16148 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669940169 | Darby Cook Sangrey | Nurse Practitioner | 5045 Old Hickory Blvd Ste 203, Hermitage, TN 37076-2582 | 2018-11-02 |
1912416710 | Beverly Janet Andrews | Nurse Practitioner | 4849 Peninsula Pointe Dr, Hermitage, TN 37076-3661 | 2017-09-25 |
1982063970 | Lauren Marcell Owen | Nurse Practitioner | 1205 Riverbrook Dr, Hermitage, TN 37076-3565 | 2016-02-18 |
1699149856 | Lisa Blair | Nurse Practitioner | 2101 Gina Ln, Hermitage, TN 37076-4351 | 2015-11-25 |
1962874230 | Ashlee Lewis | Nurse Practitioner | 6121 Hampton Hall Way, Hermitage, TN 37076-3270 | 2015-10-27 |
1205228228 | Audrey Stewart | Nurse Practitioner | 137 Noel Cove Cir, Hermitage, TN 37076-3436 | 2015-02-27 |
1619385952 | Heather Mcdonald | Nurse Practitioner | 1052 Riverwood Village Blvd, Hermitage, TN 37076-3561 | 2014-07-30 |
1679980635 | Sarah Baker | Nurse Practitioner | 5651 Frist Blvd Ste Suite400, Hermitage, TN 37076-2054 | 2014-07-22 |
1184056087 | Annette Diane Mozier | Nurse Practitioner | 102 Jackson, Hermitage, MO 65668 | 2013-08-01 |
1225474125 | Kathrine Ann Tucker | Nurse Practitioner | 101 Noel Cove Cir, Hermitage, TN 37076-3432 | 2013-05-17 |
Find all providers in HERMITAGE |
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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.