Individual provider Active NPI

Joann Carroll, APRN

  • Family Nurse Practitioner
  • Georgetown, KY
National Provider Identifier
1033569199
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3010362 Issued in KY
Practice address
1154A Lexington Rd
Georgetown, KY 40324-9330
Phone
(833) 510-4357
NPI assigned
Jun 20, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3010362 KY Primary

Addresses

Primary practice location

1154A Lexington Rd
Georgetown, KY 40324-9330

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600
Phone (833) 510-4357

Other practice location 1

101 Town and Country Ln Ste 100
Hazard, KY 41701-9524
Phone (606) 439-1300

Other identifiers 2

IdentifierTypeStateIssuer
3010362OtherKYAPRN LICENSE
1119939OtherKYRN LICENSE

Other names 1

  • Joann Maggard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160818001650 KY Practitioner - Nurse Practitioner 3678868429 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

151 Lodge Hall Rd
Nolensville, TN 37135-7445

4600 Montgomery Rd
Suite 400
Cincinnati, OH 45212-2600

PO Box
Suite 1988
Hazard, KY 41702-1988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3010362KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brightview LLC CurrentSince Dec 19, 2022 Accepting new patients
Brightview, LLC CurrentSince Dec 19, 2022 Accepting new patients
Spero Health of Kentucky, LLC CurrentSince Apr 8, 2022 Accepting new patients

Locations

830 W Broadway St
Campbellsville, KY 42718
Phone (270) 849-4938

1610 Madison Ave
Covington, KY 41011

106 Belinda Blvd
Ste 100
Danville, KY 40422
Phone (859) 439-0340

4135 Dixie Hwy
Elsmere, KY 41018
Phone (855) 510-4357

1154A Lexington Rd
Georgetown, KY 40324
Phone (502) 868-0008

621 Happy Valley Rd
Glasgow, KY 42141
Phone (270) 398-7634

320 Morton Blvd
Hazard, KY 41701
Phone (606) 487-8383

500 N Green St
Henderson, KY 42420

575 W Main St
Lexington, KY 40507

2645 N Laurel Rd
#A
London, KY 40741

9702 Stonestreet Rd
Ste 120
Louisville, KY 40272
Phone (502) 749-6249

9 E Arch St
Madisonville, KY 42431
Phone (270) 491-3942

506 N Main St
Nicholasville, KY 40356
Phone (859) 887-3712

506 N Main St
Ste A
Nicholasville, KY 40356
Phone (606) 887-3140

2202 Martin Luther King Jr Blvd
Paris, KY 40361
Phone (833) 510-5173

3911 N Mayo Trl
Pikeville, KY 41501

30 Medpark Square Dr
Ste 2
Somerset, KY 42503

349 Bogle St
Ste B
Somerset, KY 42503
Phone (606) 451-9448

4600 Montgomery Rd
Ste 400
Cincinnati, OH 45212
Phone (513) 873-1269

615 Elsinore Pl
Ste 200
Cincinnati, OH 45202
Phone (513) 639-2800

155 Franklin Rd
Ste 430
Brentwood, TN 37027
Phone (615) 265-0359

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1033569199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600",
            "telephone_number": "833-510-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1154A LEXINGTON RD",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249330",
            "telephone_number": "833-510-4357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Town and Country Ln Ste 100",
            "address_purpose": "LOCATION",
            "city": "Hazard",
            "state": "KY",
            "postal_code": "417019524",
            "country_code": "US",
            "telephone_number": "606-439-1300",
            "fax_number": "606-439-1400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "JOANN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "3010362",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "1119939",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANN",
            "last_name": "MAGGARD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Georgetown, KY

Sources for this page

Verify at the official NPI Registry.