Active NPI
Erin M Carroll, NP, CNM
- Family Nurse Practitioner
- North Syracuse, NY
National Provider Identifier
1063415024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F343403-1
- Practice address
- 792 N Main St Ste 200
North Syracuse, NY 13212 - Phone
- (315) 458-8700
- Fax
- (315) 701-1075
- NPI assigned
- May 24, 2005
- Last updated
- Jul 17, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F343403-1 | NY | Primary |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | F3601371 | NY |
Addresses
Primary practice location
792 N Main St Ste 200
North Syracuse, NY 13212
Mailing address
792 N Main St Ste 200
North Syracuse, NY 13212-1644
Phone (315) 458-8700
Other practice location 1
600 E Genesee St
Suite 323
Syracuse, NY 13202-3130
Phone (315) 476-1645
Other practice location 2
4811 Buckley Rd
Liverpool, NY 13088-3676
Phone (315) 457-9966
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 343403 | NY | MD | Psychiatry Physician |
| F343403-1 | NY | MD | Family Nurse Practitioner |
| F3601371 | NY | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Your Health Your Choice Dietetics and Nutrition PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563321600000",
"number": "1063415024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "792 N MAIN ST STE 200",
"city": "NORTH SYRACUSE",
"state": "NY",
"postal_code": "132121644",
"telephone_number": "315-458-8700",
"fax_number": "315-701-1075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "792 N MAIN ST STE 200",
"city": "NORTH SYRACUSE",
"state": "NY",
"postal_code": "13212",
"telephone_number": "315-458-8700",
"fax_number": "315-701-1075"
}
],
"practiceLocations": [
{
"address_1": "600 E Genesee St",
"address_2": "Suite 323",
"address_purpose": "LOCATION",
"city": "Syracuse",
"state": "NY",
"postal_code": "132023130",
"country_code": "US",
"telephone_number": "315-476-1645",
"fax_number": "315-476-5640",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4811 Buckley Rd",
"address_purpose": "LOCATION",
"city": "Liverpool",
"state": "NY",
"postal_code": "130883676",
"country_code": "US",
"telephone_number": "315-457-9966",
"fax_number": "315-457-9854",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARROLL",
"first_name": "ERIN",
"middle_name": "M",
"credential": "NP, CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-24",
"last_updated": "2019-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F343403-1",
"primary": true
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "NY",
"license": "F3601371",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.