DR. JESSICA ELIZABETH-ROSE CARROLL (NPI# 1306222401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306222401 |
| Entity Type | Individual |
| Full Name | DR. JESSICA ELIZABETH-ROSE CARROLL |
| Credential | PHD |
| Practice Address |
11-3059 Plumeria Street Mountain View HI 96771-1570 |
| Mailing Address |
Po Box 711570 Mountain View HI 96771-1570 |
| Practice Telephone | 8082554247 |
| Mailing Telephone | 8082554247 |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2019-12-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY-1813 | HI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336643188 | Jessica Leigh Carroll | Occupational Therapist | 35278 Richland St, Livonia, MI 48150-2657 | 2018-03-19 |
| 1336498443 | Jessica Carolina Carroll | Counselor | 259 E. Oakdale Ave, Crestview, FL 32539 | 2012-09-05 |
| 1548546237 | Jessica B Carroll | Registered Nurse | 814 S Hickory St, Mauston, WI 53948-1923 | 2011-10-26 |
| 1689201790 | Jessica Rae Carroll | Counselor | 7474 Greenway Center Dr Ste 202, Greenbelt, MD 20770-3504 | 2020-03-26 |
| 1104329598 | Jessica Carroll | Community Health Worker | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2018-03-13 |
| 1780196634 | Jessica Anne Carroll | Student in an Organized Health Care Education/Training Program | 14600 Nw Cornell Rd, Portland, OR 97229-5442 | 2017-11-01 |
| 1881053767 | Jessica Rachael Carroll | Registered Nurse | 24 Lyman St, Suite 300, Westborough, MA 01581-1482 | 2016-02-19 |
| 1801271663 | Jessica Carroll | Social Worker | 4240 Hunt Rd, Blue Ash, OH 45242-6612 | 2015-07-22 |
| 1720343437 | Jessica Lynn Carroll | Social Worker | 1095 Midway Rd, Menasha, WI 54952-1115 | 2012-07-09 |
| 1750683058 | Jessica Graham Carroll | Nurse Anesthetist, Certified Registered | 1015 Nw 22nd Ave, Anesthesia Dept, Portland, OR 97210-3025 | 2010-11-19 |
| Street Address |
11-3059 PLUMERIA STREET |
| City | MOUNTAIN VIEW |
| State | HI |
| Zip Code | 96771-1570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134843 | Ali'i Care Hawaii Corp | Registered Nurse | 18-1227 Mango Place, Mountain View, HI 96771 | 2020-11-02 |
| 1114545316 | Anthony M Conner | Technician, Pathology | 16-2005 Hopue Rd, Mountain View, HI 96771 | 2020-07-14 |
| 1609416825 | Sabrina Elizabeth Stone | Registered Nurse | 11-3083 Hibiscus Street, Mountain View, HI 96771 | 2020-01-15 |
| 1598329708 | Jaelene Kanani Lastimado | Behavior Technician | 17943 Kukui Camp Rd, Mt View, HI 96771 | 2019-04-24 |
| 1649767153 | Allison Hanley | Lactation Consultant, Non-RN | 16-1501 Opeapea Rd, Mountain View, HI 96771 | 2018-04-19 |
| 1922465004 | Rosemary Anne Haywood | Acupuncturist | 16859 Kioele Rd E, Mountain View, HI 96771 | 2016-01-21 |
| 1396112744 | Michelle Starosky | Community/Behavioral Health | 113154 Plumeria St, Mt. View, HI 96771 | 2015-09-01 |
| 1245631530 | Lyndsey Leigh Willie | Registered Nurse | 18-1235 Volcano Hwy, Mountain View, HI 96771 | 2014-09-06 |
| 1073845855 | Filiesha T. Lerand | Speech-Language Pathologist | 11-2319 Jungle King Avenue, Mountainview, HI 96771 | 2010-02-04 |
| 1306081336 | Ruth Hase Matsuura | Pediatrics | 17-40 34 Enos Road, Mountain View, HI 96771 | 2008-12-04 |
| Find all providers in zip 96771 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225688633 | Jill Levitt | Psychologist | 2660 Solace Pl Ste D, Mountain View, CA 94040-4337 | 2019-09-17 |
| 1780917815 | Jeanne Marie Duax Jakob | Psychologist | 451 N Shoreline Blvd, Mountain View, CA 94043-4605 | 2009-09-08 |
| 1831321520 | Ross Nelson | Psychologist | 1080a La Avenida St, Mountain View, CA 94043-1422 | 2009-08-14 |
| 1720205396 | Dalia Shiran | Psychologist | 2672 East Bayshore Pkwy, Suite 602, Mountain View, CA 94043 | 2007-04-18 |
| 1891817532 | Susan W Buchholz | Psychologist | 1174 Castro St Ste 275, Mountain View, CA 94040-2571 | 2007-04-04 |
| 1619038452 | Sue Anne Bishop | Psychologist | 2672 Bayshore Pkwy Ste 611, Mountain View, CA 94043-1017 | 2006-12-13 |
| 1265504534 | Kathryn Naylor Low | Psychologist | 565 Castro St, Mountain View, CA 94041-2009 | 2006-11-14 |
| 1437161510 | Mary Joanne Huetteman | Psychologist | 2660 Solace Pl Ste B, Mountain View, CA 94040-4337 | 2006-08-13 |
| 1548285380 | Rita W. Larson | Psychologist | 201 San Antonio Cir, Suite 200, Mountain View, CA 94040-1254 | 2006-07-13 |
| 1043248560 | South Drive Medical Clinic | Psychologist | 515 S Drive, #15, Mountain View, CA 94040-4209 | 2006-06-30 |
| Find all providers in MOUNTAIN VIEW | ||||
| City | MOUNTAIN VIEW |
| Zip Code | 96771 |
Please comment or provide details below to improve the information on DR. JESSICA ELIZABETH-ROSE 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.