ELEXUS CARROLL (NPI# 1336763275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336763275 |
| Entity Type | Individual |
| Full Name | ELEXUS CARROLL |
| Practice Address |
147 Sycamore St Pikeville KY 41501-9118 |
| Practice Telephone | 6062185250 |
| Mailing Telephone | 6062185250 |
| Enumeration Date | 2020-06-06 |
| Last Update Date | 2020-06-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
147 SYCAMORE ST |
| City | PIKEVILLE |
| State | KY |
| Zip Code | 41501-9118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063410629 | Michael Kenneth Murphy | Family Medicine | 147 Sycamore St, Pikeville, KY 41501-9118 | 2005-07-08 |
| 1124657473 | Andrew Abadier | Student in an Organized Health Care Education/Training Program | 147 Sycamore St, Pikeville, KY 41501-9118 | 2020-04-07 |
| 1407365232 | Ryan Hartsel | Specialist/Technologist | 147 Sycamore St, Pikeville, KY 41501-9118 | 2017-09-25 |
| 1336599331 | Rachel L Fitzgerald | Optometrist | 147 Sycamore St, Pikeville, KY 41501 | 2016-06-21 |
| 1841657947 | University of Pikeville | Optometrist | 147 Sycamore St, Pikeville, KY 41501 | 2016-01-20 |
| 1821489576 | Ellis Ray Tackett IIi | Specialist | 147 Sycamore St, Pikeville, KY 41501-9118 | 2015-02-16 |
| 1336498559 | Pike County Health Department University of Pikeville | Public Health or Welfare | 147 Sycamore St, Pikeville, KY 41501-9118 | 2012-09-04 |
| 1013242106 | Eilene Eugenio Kinzer | Optometrist | 147 Sycamore St, Kentucky College of Optometry, Pikeville, KY 41501-9118 | 2009-10-07 |
| 1447381546 | Justin Blake Brashear | Specialist/Technologist | 147 Sycamore St, Pikeville, KY 41501-9118 | 2007-03-08 |
| 1053454835 | James Rogala | Optometrist | 147 Sycamore St, Pikeville, KY 41501-9118 | 2007-02-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720634 | Lauren Ann Thacker | Nurse Practitioner | 648 Stonehenge Drive, Pikeville, KY 41501 | 2020-11-03 |
| 1659933406 | Wesley Tyler Rowe | Pharmacist | 553 Hambley Boulevard, Suite 6, Pikeville, KY 41501 | 2019-07-02 |
| 1275096489 | Eric Taejun Kim | Student in an Organized Health Care Education/Training Program | 184 South Mayo Trail, Pikeville, KY 41501 | 2019-04-13 |
| 1245755206 | Paula Renee Belcher | Nurse Practitioner | 5724 E Shelbiana Road, Pikeville, KY 41501 | 2017-08-10 |
| 1174044390 | Jessie C Deffendall | Dentist | 220 Cassidy Blvd, Pikeville, KY 41501 | 2017-06-28 |
| 1942667456 | Crossroads Addiction Recovery Effort, LLC | Family Medicine | 484 Tollage Crk, Pikeville, KY 41501 | 2016-01-28 |
| 1265836183 | Rebecca Leann Roberts | Pharmacist | 259 Bear Rd, Pikeville, KY 41501 | 2014-10-21 |
| 1306253190 | Ginger Webb Aprn | Clinic/Center | 153 Weddington Branch Rd., Pikeville, KY 41501 | 2014-07-14 |
| 1710323894 | Bhg Xxv, LLC | Case Management | 368 South Mayo Trail, Pikeville, KY 41501 | 2013-05-16 |
| 1740624220 | Sunrise Children's Services, Inc. | Foster Care Agency | 123 Weddington Branch Road, Pikeville, KY 41501 | 2013-04-26 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275096489 | Eric Taejun Kim | Student in an Organized Health Care Education/Training Program | 184 South Mayo Trail, Pikeville, KY 41501 | 2019-04-13 |
| 1679195408 | Pavitri Dwivedi | Student in an Organized Health Care Education/Training Program | 184 S Mayo Trl, Pikeville, KY 41501-1518 | 2020-05-14 |
| 1366064677 | M'kayla Nicole Francis | Student in an Organized Health Care Education/Training Program | 184 S Mayo Trl, Pikeville, KY 41501-1518 | 2020-05-08 |
| 1972125375 | Garett Charles Francis | Student in an Organized Health Care Education/Training Program | 184 S Mayo Trl, Pikeville, KY 41501-1518 | 2020-05-08 |
| 1619598182 | Kimberly Nicole Mosley | Student in an Organized Health Care Education/Training Program | 184 S Mayo Trl, Pikeville, KY 41501-1518 | 2020-05-06 |
| 1124657473 | Andrew Abadier | Student in an Organized Health Care Education/Training Program | 147 Sycamore St, Pikeville, KY 41501-9118 | 2020-04-07 |
| 1497319495 | Qurrat Ul Ain Elahi | Student in an Organized Health Care Education/Training Program | 184 S Mayo Trl, Pikeville, KY 41501-1518 | 2019-04-24 |
| 1326601873 | Scott Rice | Student in an Organized Health Care Education/Training Program | 184 S Mayo Trl, Pikeville, KY 41501-1518 | 2019-04-19 |
| 1538722525 | William Maass | Student in an Organized Health Care Education/Training Program | 184 S Mayo Trl, Pikeville, KY 41501-1518 | 2019-04-16 |
| 1275196362 | Christian Tyler Marcum | Student in an Organized Health Care Education/Training Program | 184 S Mayo Trl, Pikeville, KY 41501-1518 | 2019-04-15 |
| Find all providers in PIKEVILLE | ||||
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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.