JACQUELINE CARROLL (NPI# 1508957663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508957663 |
| Entity Type | Individual |
| Full Name | JACQUELINE CARROLL |
| Credential | PA |
| Practice Address |
510 Carolina Bay Dr Ste 110 Wilmington NC 28403-2041 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 9106626000 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 104116 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7420 Market St, Wilmington, NC 284119453 | 9106862525 | |
| 5145 S College Rd, Wilmington, NC 284122207 | 9107921144 | |
| 7910 Us Hwy 117 S, Unit 120, Rocky Point, NC 284579431 | 9103004500 | |
| 1960 S 16th St, Wilmington, NC 284016676 | 9103439991 | |
| 7910 Us Highway 117 S, Unit 120, Rocky Point, NC 284579431 | 9103004500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568096535 | Jacqueline Joan Carroll | Music Therapist | 3133 Linda Ln Apt C, Allentown, PA 18103-6965 | 2020-02-27 |
| 1447561618 | Jacqueline Carroll | Social Worker | 31 Beach Ave, Port Jefferson Station, NY 11776-2121 | 2010-06-23 |
| 1306060330 | Jacqueline Denise Howell Carroll | Speech-Language Pathologist | 4621 Longbridge Lane, Lexington, KY 40515-6135 | 2007-04-12 |
| 1104366400 | Jacqueline Carroll | Nurse Practitioner | 21 Highland Ave, Ajh, Cardiology Department, Newburyport, MA 01950-3872 | 2017-03-06 |
| 1316301286 | Jacqueline Carroll | Occupational Therapist | 638 Brandywine Pkwy, West Chester, PA 19380-4278 | 2016-04-07 |
| 1184847253 | Jacqueline Margaret Carroll | Physical Therapist | 135 Erie St E, Blauvelt, NY 10913-1823 | 2007-04-10 |
| 1912026279 | Jacqueline Ann Carroll | Registered Nurse | 1407 Saint Andrew St, Ste 100, La Crosse, WI 54603-3301 | 2007-03-28 |
| 1851431258 | Jacqueline Carroll | Counselor | 3925 N College Ave, Suite 101, Indianapolis, IN 46205-2734 | 2007-02-07 |
| Street Address |
510 CAROLINA BAY DR STE 110 |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403-2041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700406642 | Elaine Marozsan Williams | Nurse Practitioner | 510 Carolina Bay Dr, Wilmington, NC 28403-2041 | 2020-04-21 |
| 1881132769 | Meredith Sheffield | Nurse Practitioner | 510 Carolina Bay Dr, Suite 100, Wilmington, NC 28403-2041 | 2017-02-10 |
| 1063840577 | Nolan Crain | Physician Assistant | 510 Carolina Bay Dr, Ste 110, Wilmington, NC 28403-2041 | 2013-10-18 |
| 1356685739 | Crystal Earp | Nurse Practitioner | 510 Carolina Bay Dr, Ste 110, Wilmington, NC 28403-2041 | 2012-11-26 |
| 1336402197 | Benjamin Pellegrin | Nurse Practitioner | 510 Carolina Bay Dr, Ste 110, Wilmington, NC 28403-2041 | 2012-06-18 |
| 1982964250 | Dorothy Parsley | Obstetrics & Gynecology | 510 Carolina Bay Dr, Suite 100, Wilmington, NC 28403-2041 | 2012-05-21 |
| 1740418862 | Mary Turner | Physician Assistant | 510 Carolina Bay Dr, Ste 110, Wilmington, NC 28403-2041 | 2009-06-26 |
| 1366694853 | Ashley Pratt | Physician Assistant | 510 Carolina Bay Dr, Ste 110, Wilmington, NC 28403-2041 | 2008-10-16 |
| 1841409869 | Dawn Thornton | Internal Medicine | 510 Carolina Bay Dr, Ste 110, Wilmington, NC 28403-2041 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750990461 | Kyra Isaacs | Physician Assistant | 1901 Greenbriar Dr, Wilmington, DE 19810-4320 | 2020-07-28 |
| 1144847252 | Stephanie Marie Barczak | Physician Assistant | 11 Amherst Rd, Wilmington, MA 01887-2608 | 2020-07-06 |
| 1457984676 | Jessica Patrick Lancaster | Physician Assistant | 602 Jennings Dr, Wilmington, NC 28403-2732 | 2020-02-17 |
| 1730727348 | Lea Ann Cenname | Physician Assistant | 722 Mohican Trl, Wilmington, NC 28409-3429 | 2019-12-13 |
| 1467944645 | Julie Renee Sims | Physician Assistant | 3411 Silverside Rd Ste 107, Wilmington, DE 19810-4806 | 2018-06-04 |
| 1740780865 | Greater Tomorrow Wellness, LLC | Physician Assistant | 1097 W Locust St, Wilmington, OH 45177 | 2018-02-15 |
| 1336658657 | Eric Dees | Physician Assistant | 501 W 14th St Fl 1, Wilmington, DE 19801-1013 | 2017-09-29 |
| 1174047591 | Carlie M Black | Physician Assistant | 4815 Oleander Dr Ste 100, Wilmington, NC 28403-5116 | 2017-07-27 |
| 1497294581 | Kathleen Lauren Meyer | Physician Assistant | 6419 Carolina Beach Rd Ste A, Wilmington, NC 28412-3672 | 2017-02-22 |
| 1477090967 | David Romano | Physician Assistant | 15 Kilmarnock St, Wilmington, MA 01887-3061 | 2017-01-23 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
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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.