DR. LATONYA JANETT CARROLL (NPI# 1700056033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700056033 |
| Entity Type | Individual |
| Full Name | DR. LATONYA JANETT CARROLL |
| Credential | DNP, APRN.CNP |
| Practice Address |
655 N Cassady Ave Ste 7 Columbus OH 43219-2720 |
| Mailing Address |
1391 W 5th Ave # 241 Columbus OH 43212-2902 |
| Practice Telephone | 4105698940 |
| Practice Fax Number | 6143754130 |
| Mailing Telephone | 8773180934 |
| Mailing Fax Number | 8888310965 |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2020-09-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
TEMP60444 | NM | Allopathic & Osteopathic Physicians |
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
A159261 | IA | Allopathic & Osteopathic Physicians |
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
APRN02420 | RI | Allopathic & Osteopathic Physicians |
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
820843 | NV | Allopathic & Osteopathic Physicians |
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
5573 | MN | Allopathic & Osteopathic Physicians |
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
344401 | NY | Allopathic & Osteopathic Physicians |
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
0001166 | CO | Allopathic & Osteopathic Physicians |
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
081831-23 | NH | Allopathic & Osteopathic Physicians |
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
104979 | WV | Allopathic & Osteopathic Physicians |
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
0024178144 | VA | Allopathic & Osteopathic Physicians |
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
8581 | CT | Allopathic & Osteopathic Physicians |
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
2777000957 | IL | Allopathic & Osteopathic Physicians |
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
CNP171188 | ME | Allopathic & Osteopathic Physicians |
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
13287 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0100318 | 05 | |
| MD | 222585900 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1391 W 5th Ave # 241, Columbus, OH 432122902 | 6145698940 | 6143754130 |
| 3702 Perry Ave, Kensington, MD 20895 | 8773180934 | 8888310965 |
| 4803 N Milwaukee Ave Ste B, Chicago, IL 606302146 | 8773180934 | 8888310965 |
| 166 Valley St Bldg 6m, Providence, RI 029092400 | 8773180934 | 8888310965 |
| 103 Randolph Ave Ste 201, Elkins, WV 262414067 | 8773180934 | 8888310965 |
| 347 Madison Ave, Skowhegan, ME 049764238 | 8773180934 | 8888310965 |
| 2686 Crossraods Plaza Drive, Columbus, OH 43219 | 8773180934 | 8888310965 |
| 655 N Cassady Ave Ste 7, Columbus, OH 432192720 | 4105698940 | 6143754130 |
| 655 N Cassady Ave, Columbus, OH 432192720 | 4105698940 | 6143754130 |
| 347 Madison Ave, Skowhegan, ME 049764238 | 2073994438 | 2074746539 |
| 3702 Perry Ave, Kensington, MD 208952118 | 4108704847 | 4105101627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861834251 | Latonya Marie Carroll | Counselor | 17711 Neal Drive, Montverde, FL 34756 | 2013-07-25 |
| Street Address |
655 N CASSADY AVE STE 7 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43219-2720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003430844 | Pdq Transportation Inc | Secured Medical Transport (VAN) | 1640 E 5th Ave, Columbus, OH 43219 | 2020-06-06 |
| 1366066599 | Urban Limousine LLC | Secured Medical Transport (VAN) | 1640 E. 5th Ave, Columbus, OH 43219 | 2020-06-03 |
| 1841757879 | Camille Cook | Nurse Practitioner | 4200 Regent St. Suite 200, Columbus, OH 43219 | 2019-02-26 |
| 1164904595 | Vida Yeboah | Registered Nurse | 2320 Doneen Dr, Columbus, OH 43219 | 2018-09-01 |
| 1407373129 | Chevon Marie Wiseman | Nurse's Aide | 2835 Jared Pl, Columbus, OH 43219 | 2017-08-23 |
| 1952826737 | Hilary Schadle Demostenes | Social Worker | 2780 Airport Dr, Suite 100 - Billing/credentialing Dept., Columbus, OH 43219 | 2017-08-14 |
| 1851833800 | Amanda Yahn | Student in an Organized Health Care Education/Training Program | 2469 Stelzer Road, Bradford School, Columbus, OH 43219 | 2016-11-08 |
| 1215312939 | Taylor Weary | Student in an Organized Health Care Education/Training Program | 2649 Stelzer Rd, Columbus, OH 43219 | 2015-07-23 |
| 1568846715 | Brenton Semplak | Student in an Organized Health Care Education/Training Program | 2469 Stelzer Rd., Columbus, OH 43219 | 2015-07-17 |
| 1811384746 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 4142 Seward Street, Suite F105, Columbus, OH 43219 | 2015-04-17 |
| Find all providers in zip 43219 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124535828 | Ats, Columbus, LLC Dba, Addiction Therapy Services | Family Medicine | 4760 Sawmill Rd, Columbus, OH 43235-3260 | 2018-01-03 |
| 1245755990 | Pathway Healthcare- Columbus, Ms LLC | Family Medicine | 3600 Bluecutt Rd Ste 200, Columbus, MS 39705-1303 | 2017-08-03 |
| 1598071334 | Medsave Healthcare Clinics Inc | Family Medicine | 246 E Campus View Blvd, Columbus, OH 43235 | 2010-08-30 |
| 1942484167 | Medical and Natural Nutritional Alternatives Inc | Family Medicine | 730 Mount Airyshire Blvd A, Columbus, OH 43235-1328 | 2007-12-24 |
| 1366655656 | Roger Garcia | Family Medicine | 4889 Sinclair Rd Ste 112, Columbus, OH 43229-5433 | 2007-05-07 |
| 1144275181 | Larry S Everhart | Family Medicine | 730 Mount Airyshire Blvd, A, Columbus, OH 43235-1328 | 2006-05-24 |
| 1447884077 | First Care Integrated Health LLC | Family Medicine | 5150 E Main St Ste 105, Columbus, OH 43213-2441 | 2020-02-21 |
| 1649733445 | Ohio Addiction Management | Family Medicine | 2525 Oakstone Dr Ste B, Columbus, OH 43231-8626 | 2019-04-09 |
| 1790279131 | Ohio Addiction Management, LLC | Family Medicine | 5460 Cleveland Ave, Columbus, OH 43231-4005 | 2018-06-19 |
| 1336656628 | Pathway Healthcare- Columbus, Ms LLC | Family Medicine | 3600 Bluecutt Rd Ste 200, Columbus, MS 39705-1303 | 2018-01-08 |
| Find all providers in COLUMBUS | ||||
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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.