MS. STEPHANIE ANN CARROLL (NPI# 1538695580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538695580 |
| Entity Type | Individual |
| Full Name | MS. STEPHANIE ANN CARROLL |
| Credential | IBCLC |
| Practice Address |
100 Jackson Pike Gallipolis OH 45631-1560 |
| Practice Telephone | 7407090038 |
| Mailing Telephone | 7407090038 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | L-72672 | OH | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700492550 | Stephanie Carroll | Homemaker | 4863 Countryside Rd, Lyndhurst, OH 44124-2512 | 2020-09-17 |
| 1265978936 | Stephanie Spencer Carroll | Psychologist | 340 Suburban Rd, Knoxville, TN 37923-5800 | 2017-01-18 |
| 1982995528 | Stephanie A Carroll | Registered Nurse | 1051 Niagara Ln, Port Washington, WI 53074-1766 | 2011-05-01 |
| 1871713917 | Stephanie Jo Carroll | Psychologist | 16168 Beach Blvd Suite 241, Huntington Beach, CA 92647 | 2007-04-30 |
| 1245381912 | Stephanie Carroll | Student in an Organized Health Care Education/Training Program | 1944 Mayfair Park Dr Apt 310, Birmingham, AL 35209-8317 | 2007-01-16 |
| 1124586029 | Stephanie Amanda Carroll | Nurse Practitioner | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2019-03-09 |
| 1538651641 | Stephanie Lauren Carroll | Nurse Practitioner | 3535 Olentangy River Rd, Columbus, OH 43214 | 2018-06-04 |
| 1790273985 | Stephanie Lynn Carroll | Specialist/Technologist | 402 E College St, Bridgewater, VA 22812-1511 | 2018-04-24 |
| 1700337292 | Stephanie Nicole Carroll | Social Worker | 100 Jefferson Sq, Waterbury, CT 06706-1109 | 2016-10-19 |
| 1083074926 | Stephanie Marie Carroll | Counselor | 1509 Maple St, Scranton, PA 18505-2707 | 2016-03-04 |
| Street Address |
100 JACKSON PIKE |
| City | GALLIPOLIS |
| State | OH |
| Zip Code | 45631-1560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407857014 | Robert O. Schmoll Jr. | Pharmacist | 100 Jackson Pike, Gallipolis, OH 45631-1560 | 2005-08-04 |
| 1235740986 | Deborah Pope | Pharmacist | 100 Jackson Pike, Gallipolis, OH 45631-1560 | 2020-08-14 |
| 1407464332 | Emily Nichole Howell | Pharmacist | 100 Jackson Pike, Gallipolis, OH 45631-1560 | 2020-07-16 |
| 1932723020 | Ethan Stephens | Family Medicine | 100 Jackson Pike, Gallipolis, OH 45631-1560 | 2020-06-03 |
| 1528680485 | Umar Razzaq | Student in an Organized Health Care Education/Training Program | 100 Jackson Pike, Gallipolis, OH 45631-1560 | 2020-05-14 |
| 1205458064 | Giovanti Davis | Student in an Organized Health Care Education/Training Program | 100 Jackson Pike, Gallipolis, OH 45631-1560 | 2020-05-14 |
| 1841834488 | Mauja Venugopal Rajan | Nurse Practitioner | 100 Jackson Pike, Gallipolis, OH 45631-1560 | 2019-11-06 |
| 1467094300 | Brian Ly | Pharmacist | 100 Jackson Pike, Gallipolis, OH 45631-1560 | 2019-10-11 |
| 1295388601 | Noah Lee Searls | Pharmacist | 100 Jackson Pike, Gallipolis, OH 45631-1560 | 2019-07-24 |
| 1487206421 | Andrea Rae Roush | Nurse Practitioner | 100 Jackson Pike, Gallipolis, OH 45631-1560 | 2019-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982178703 | Nathaniel D Chapman | Specialist/Technologist | 4th Avenue and Sycamore State, Gallipolis, OH 45631 | 2019-01-15 |
| 1013499029 | Spencer Kissel | Nurse Practitioner | 1284 State Route 160, Gallipolis, OH 45631 | 2018-09-06 |
| 1164940078 | Spring Valley Family Pharmacy LLC | Pharmacy | 448 Jackson Pike Road, Gallipolis, OH 45631 | 2017-08-31 |
| 1831619832 | Crystal N Rankin | Registered Nurse | 471 Paxton Rd, Gallipolis, OH 45631 | 2017-06-21 |
| 1962869685 | Edward Mussi Jr. | Specialist/Technologist | 1051 4th Ave, Gallipolis, OH 45631 | 2016-01-26 |
| 1861822181 | Arbors At Gallipolis | Nursing Facility/Intermediate Care Facility | 170 Pinecrest Drive, Gallipolis, OH 45631 | 2013-11-22 |
| 1619237039 | Mark W. Hasseman | Massage Therapist | 21 Central Avenue, Suite C, Gallipolis, OH 45631 | 2012-05-18 |
| 1730487463 | Elizabeth A Canaday | Nurse Practitioner | 10 Airport Rd, Gallipolis, OH 45631 | 2011-03-03 |
| 1467759456 | Allen Keith Sheets | Dentist | 722 Second Avenue, Gallipolis, OH 45631 | 2011-02-28 |
| 1144398074 | Richard Bowers Simpson | Family Medicine | 49 Ohio Ave, Gallipolis, OH 45631 | 2006-11-30 |
| Find all providers in zip 45631 | ||||
| Taxonomy Code | 174N00000X |
| Grouping | Other Service Providers |
| Classification | Lactation Consultant, Non-RN |
| An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205445483 | Fruit of The Womb Perinatal Service, LLC | Lactation Consultant, Non-RN | 3356 W 94th St, Cleveland, OH 44102-4818 | 2020-07-23 |
| 1053936575 | Laura Beth Mason | Lactation Consultant, Non-RN | 2424 Luddington Dr, Toledo, OH 43615-2563 | 2020-06-10 |
| 1992335459 | Autumn Marie Hadden | Lactation Consultant, Non-RN | 5280 Township Road 179, Cardington, OH 43315-9226 | 2020-01-23 |
| 1508415431 | Sarah Sims | Lactation Consultant, Non-RN | 23 Curtis Ave, Newark, OH 43055-6508 | 2019-09-04 |
| 1134781255 | Kaci Godbehere | Lactation Consultant, Non-RN | 1303 W Maple St Ste 105, North Canton, OH 44720-2858 | 2019-06-29 |
| 1093286981 | Hadassah Mann | Lactation Consultant, Non-RN | 2365 Section Rd, Cincinnati, OH 45237-3629 | 2018-12-17 |
| 1528536307 | Tender Beginnings LLC | Lactation Consultant, Non-RN | 6085 Summerville Ln, Liberty Twp, OH 45011-7283 | 2018-11-09 |
| 1003390725 | Beth Wilson | Lactation Consultant, Non-RN | 2958 Hanover Dr, Lima, OH 45805-2926 | 2018-09-18 |
| 1215441803 | Casey Tobik | Lactation Consultant, Non-RN | 27614 Caroline Cir Apt C, Westlake, OH 44145-1140 | 2017-11-20 |
| 1275082935 | Joellen M Noble | Lactation Consultant, Non-RN | 134 Fairview Ave, Sardinia, OH 45171-9354 | 2016-09-22 |
| Find all providers with the same taxonomy | ||||
| City | GALLIPOLIS |
| Zip Code | 45631 |
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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.