ANDREA CARROLL (NPI# 1881013365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881013365 |
| Entity Type | Individual |
| Full Name | ANDREA CARROLL |
| Practice Address |
3604 N Martin Luther King Jr Blvd Tulsa OK 74106-6447 |
| Mailing Address |
650 S Peoria Ave Tulsa OK 74120-4429 |
| Practice Telephone | 9184254200 |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2014-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730470360 | Andrea Carroll | Counselor | 6241 W Kinnickinnic River Pkwy, Milwaukee, WI 53219-3012 | 2011-04-30 |
| 1124325527 | Andrea Carroll | Occupational Therapist | 2700 8th St Nw, Minot, ND 58703-0652 | 2011-02-21 |
| 1407311657 | Andrea Carroll | Perfusionist | 31330 Schoolcraft Rd, Livonia, MI 48150-2041 | 2019-02-01 |
| 1427121177 | Andrea Michelle Carroll | Social Worker | 6223 N Canton Center Rd, Suite 210, Canton, MI 48187-2696 | 2006-11-17 |
| Street Address |
3604 N MARTIN LUTHER KING JR BLVD |
| City | TULSA |
| State | OK |
| Zip Code | 74106-6447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215367651 | Rutanya Simon | Social Worker | 3604 N Martin Luther King Jr Blvd, Tulsa, OK 74106-6447 | 2013-11-21 |
| 1942622279 | Amber Gene Cox | Counselor | 3604 N Martin Luther King Jr Blvd, Tulsa, OK 74106-6447 | 2014-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811538895 | Desma Johnson | Technician | 784 East 43rd Street North, Tulsa, OK 74106 | 2019-10-01 |
| 1912462094 | Breyan Lashawn Jackson | Case Manager/Care Coordinator | 3606 N Mlk Jr. Blvd, Tulsa, OK 74106 | 2019-02-04 |
| 1740751445 | Ernest Kaara Maina | Family Medicine | 3606 M.l.k. Jr Blvd, Tulsa, OK 74106 | 2018-12-07 |
| 1568969632 | A&m Healthcare Clinic | Nurse Practitioner | 3606 North Mlk Blvd, Tulsa, OK 74106 | 2018-04-06 |
| 1265880819 | Paula Patricia Tullis | Psychologist | 1232 N Boston, Tulsa, OK 74106 | 2016-05-24 |
| 1326413030 | Eartha Mcalester | Counselor | 628 E. Virgin St., Tulsa, OK 74106 | 2015-12-07 |
| 1114334182 | James O Brannon Jr. | Behavioral Analyst | 2745 North Main, Tulsa, OK 74106 | 2014-07-22 |
| 1952718512 | Teresa Marie Williams | Counselor | 3601 N. Martin Luther King Blvd, Tulsa, OK 74106 | 2014-07-16 |
| 1639580764 | Lynnette Dixon | Case Management | 708 East 38th Street North, Tulsa, OK 74106 | 2014-05-12 |
| 1184975898 | Tiara Delonia | Social Worker | 1 W 36th St N Suite 1, Tulsa, OK 74106 | 2012-09-21 |
| Find all providers in zip 74106 | ||||
| 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 |
|---|---|---|---|---|
| 1255931739 | Parker Grant Allan | Student in an Organized Health Care Education/Training Program | 5126 E 104th Pl, Tulsa, OK 74137-6082 | 2020-10-26 |
| 1003423369 | Armin Kalantari | Student in an Organized Health Care Education/Training Program | 7310 E 92nd St, Tulsa, OK 74133-6039 | 2020-09-29 |
| 1437766268 | Abigail Roberts | Student in an Organized Health Care Education/Training Program | 2657 S Oswego Pl, Tulsa, OK 74114-4719 | 2020-09-25 |
| 1275149577 | Jesse Taylor Strong | Student in an Organized Health Care Education/Training Program | 50 S Florence Ave, Tulsa, OK 74104-1714 | 2020-09-22 |
| 1376159632 | Nisha Rajagopal | Student in an Organized Health Care Education/Training Program | 6152 S Richmond Ave, Tulsa, OK 74136-1613 | 2020-09-21 |
| 1386250728 | Magera Shaw | Student in an Organized Health Care Education/Training Program | 1436 S Darlington Ave, Tulsa, OK 74112-6314 | 2020-09-21 |
| 1811503261 | Bridgette Molenda | Student in an Organized Health Care Education/Training Program | 5215 S Harvard Ave Apt K, Tulsa, OK 74135-3537 | 2020-09-21 |
| 1922613777 | Anna Claire Shadid | Student in an Organized Health Care Education/Training Program | 2122 E 47th Pl, Tulsa, OK 74105-4922 | 2020-09-09 |
| 1316552169 | Laura Warning | Student in an Organized Health Care Education/Training Program | 412 S Olympia Ave, Tulsa, OK 74127-8825 | 2020-09-09 |
| 1487269239 | James Maxwell Cox | Student in an Organized Health Care Education/Training Program | 4507 S Madison Pl, Tulsa, OK 74105-4564 | 2020-09-09 |
| Find all providers in TULSA | ||||
Please comment or provide details below to improve the information on ANDREA CARROLL.
| 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.