MRS. MAYA DEVONNE CARROLL (NPI# 1699315473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699315473 |
| Entity Type | Individual |
| Full Name | MRS. MAYA DEVONNE CARROLL |
| Credential | PMHNP-BC |
| Practice Address |
7488 Calzada De La Fuente San Diego CA 92154-2717 |
| Mailing Address |
4672 Golden Sky Way Unit 146 San Diego CA 92154-8813 |
| Practice Telephone | 6196614056 |
| Practice Fax Number | 6196615287 |
| Mailing Telephone | 9312174898 |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2020-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
95013568 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7488 CALZADA DE LA FUENTE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92154-2717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194814277 | Tobe Propst | Family Medicine | 7488 Calzada De La Fuente, Medical, San Diego, CA 92154-2717 | 2006-10-12 |
| 1386148229 | Kelly Marie Dixon | Licensed Vocational Nurse | 7488 Calzada De La Fuente, San Diego, CA 92154-2717 | 2018-03-23 |
| 1881149474 | Heather Madsen | Registered Nurse | 7488 Calzada De La Fuente, San Diego, CA 92154-2717 | 2016-08-24 |
| 1174812739 | Josephine Dinh Zepeda | Pharmacist | 7488 Calzada De La Fuente, San Diego, CA 92154 | 2011-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952922783 | Rosalie Ramos Gayares | Licensed Vocational Nurse | Del Sur Crisis Center, San Diego, CA 92154 | 2020-05-04 |
| 1720625791 | Michelle Lynn Mason | Counselor | 892 27th Street, San Diego, CA 92154 | 2019-12-09 |
| 1538604020 | Victor Luis Assid | Counselor | 3069 Camino Aleta, San Diego, CA 92154 | 2016-12-20 |
| 1710346275 | Abba Transportation Services LLC | Non-emergency Medical Transport (VAN) | 5640 Surfrider Way #255, San Diego, CA 92154 | 2016-02-12 |
| 1851788962 | Danielle D. Weisman | Psychologist | 9335 Airway Rd Ste 202, San Diego, CA 92154 | 2015-04-16 |
| 1215321955 | Carolina Gonzalez-garcia | Marriage & Family Therapist | 3085 Beyer Blvd Ste A103, San Diego, CA 92154 | 2015-03-19 |
| 1285042945 | Maricela Ochoa | Pharmacist | 710 Dennery Road, San Diego, CA 92154 | 2014-07-25 |
| 1376975300 | Shatori R Dearman | Social Worker | 5143 Bay Crest Ln, San Diego, CA 92154 | 2013-08-01 |
| 1912257940 | Bj's Trading LLC | Durable Medical Equipment & Medical Supplies | 9668 Heinrich Hertz Drive Suite G, San Diego, CA 92154 | 2012-09-18 |
| 1881997625 | Tywila Reeves Bivens | Nurse's Aide | 976 Picador Blvd, San Diego, CA 92154 | 2010-12-17 |
| Find all providers in zip 92154 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609431196 | Tanya Denise Stevenson-gaines | Nurse Practitioner | 13988 Royal Melbourne Sq, San Diego, CA 92128-3646 | 2019-05-09 |
| 1457788598 | Christopher John Reddin | Nurse Practitioner | Naval Medical Center San Diego C I D, 34800 Bob Wilson Drive, San Diego, CA 92134-0001 | 2013-10-03 |
| 1356650634 | Jamie M Sorenson | Nurse Practitioner | Center Star Act Mental Health Systems, 4283 El Cajon Blvd, Suite 115, San Diego, CA 92105-0001 | 2010-10-04 |
| 1023345204 | Nelda K. Coleman | Nurse Practitioner | 4715 Viewridge Avenue, Suite 230, San Diego, CA 92123 | 2009-11-10 |
| 1972506483 | Steven G Hogan | Nurse Practitioner | 8810 Rio San Diego Dr, San Diego, CA 92108-1698 | 2005-05-30 |
| 1396358024 | Stephanie Joyce Reed | Nurse Practitioner | 2630 1st Ave, San Diego, CA 92103-6599 | 2020-08-24 |
| 1104442185 | Joshua Don Dougherty | Nurse Practitioner | 1550 Hotel Cir N Ste 450, San Diego, CA 92108-2933 | 2020-06-24 |
| 1801422258 | Safiya Damali Daley | Nurse Practitioner | 1675 Morena Blvd, San Diego, CA 92110-3703 | 2020-03-17 |
| 1083247779 | Fernando Ebeo Serrano Jr. | Nurse Practitioner | 3491 Kurtz St Ste 150, San Diego, CA 92110-4430 | 2020-02-20 |
| 1538790605 | Kat Tupas Balingit | Nurse Practitioner | 140 Arbor Dr, San Diego, CA 92103-2007 | 2020-01-28 |
| Find all providers in SAN DIEGO | ||||
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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.