STACEY P CARROLL (NPI# 1285973396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285973396 |
| Entity Type | Individual |
| Full Name | STACEY P CARROLL |
| Credential | ANP |
| Practice Address |
1540 Sunday Dr Raleigh NC 27607-6010 |
| Practice Telephone | 9197823456 |
| Practice Fax Number | 9197831441 |
| Mailing Telephone | 9197823456 |
| Mailing Fax Number | 9197831441 |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2013-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 5006051 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114102332 | Stacey M Carroll | Registered Nurse | 18 Wayland Cir, Holden, MA 01520-2439 | 2008-01-07 |
| 1356404552 | Stacey Ann Carroll | Speech-Language Pathologist | 10550 Ridgewood Dr, Palos Park, IL 60464-2522 | 2006-12-18 |
| 1396207049 | Stacey Peel Carroll | Student in an Organized Health Care Education/Training Program | 1664 N Virginia St # Ms 0316, Reno, NV 89557-0001 | 2019-04-02 |
| Street Address |
1540 SUNDAY DR |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607-6010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861495905 | Dennis E Bullard | Specialist | 1540 Sunday Dr, Ste 214, Raleigh, NC 27607-6000 | 2005-05-23 |
| 1245758796 | Kristin N Jones | Physician Assistant | 1540 Sunday Dr, Raleigh, NC 27607-6010 | 2017-09-05 |
| 1639618226 | Reham Ghali | Physician Assistant | 1540 Sunday Dr, Raleigh, NC 27607-6010 | 2017-02-16 |
| 1134670193 | Triangle Neurosurgery | Specialist | 1540 Sunday Dr, Raleigh, NC 27607-6010 | 2016-10-14 |
| 1801243795 | Joan Swanson | Physician Assistant | 1540 Sunday Dr, Raleigh, NC 27607-6010 | 2016-05-20 |
| 1881052710 | Meghan Elizabeth Murphy | Nurse Practitioner | 1540 Sunday Dr, Raleigh, NC 27607-6010 | 2016-02-06 |
| 1619332152 | Candace Jackson Moody | Physician Assistant | 1540 Sunday Dr, Raleigh, NC 27607 | 2015-12-29 |
| 1184013435 | Thinh Nguyen | Nurse Practitioner | 1540 Sunday Dr, Raleigh, NC 27607-6010 | 2015-01-09 |
| 1245650068 | Neeja Vivek Desai | Psychiatry & Neurology | 1540 Sunday Dr, Raleigh, NC 27607 | 2014-04-19 |
| 1619395092 | Casey Victoria Farin | Psychiatry & Neurology | 1540 Sunday Dr, Raleigh, NC 27607 | 2014-04-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
| 1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
| 1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
| 1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
| 1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
| 1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
| 1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
| 1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
| 1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
| 1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
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| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902406671 | Lilly Danielle Appleberry | Nurse Practitioner | 6005 Clarks Fork Dr, Raleigh, NC 27616-5821 | 2020-10-30 |
| 1891318739 | Christopher Paul Murphy | Nurse Practitioner | 11200 Governor Manly Way Ste 23, Raleigh, NC 27614-8599 | 2020-05-27 |
| 1669095139 | Shannon Yahyapour | Nurse Practitioner | 1528 Shadowood Ln, Raleigh, NC 27612-5917 | 2020-05-19 |
| 1134752181 | Pamela Liane Harris Claxton | Nurse Practitioner | 3708 San Pablo Dr, Raleigh, NC 27616-4540 | 2020-02-18 |
| 1083253033 | Brenda Lee Gartrell | Nurse Practitioner | 2000 Red Quartz Dr, Raleigh, NC 27610-5634 | 2019-12-21 |
| 1154979227 | Bethany Bartholomew | Nurse Practitioner | 10941 Raven Ridge Rd Ste 201, Raleigh, NC 27614-6487 | 2019-08-30 |
| 1831750181 | Becky L Milam | Nurse Practitioner | 5900 Six Forks Rd Ste 200, Raleigh, NC 27609-8226 | 2019-06-27 |
| 1275034357 | Matthew O'donnell | Nurse Practitioner | 6500 Creedmoor Rd Ste 110, Raleigh, NC 27613-3698 | 2018-02-23 |
| 1356852792 | Meredith Tschoke | Nurse Practitioner | 4505 Falls of Neuse Rd Ste 650, Raleigh, NC 27609-2523 | 2017-10-12 |
| 1992174775 | Chun Young Hong | Nurse Practitioner | 3414 Six Forks Rd., Raleigh, NC 27609 | 2015-09-22 |
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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.