Clarizza Carroll, APRN, CNS

Primary specialty

Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X

License

61627 Issued in OK

Practice address

304 Fairlane Ave
Sulphur, OK 73086-6861

Phone

(580) 622-2144

NPI assigned

Oct 20, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Specialist

State licenses

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

{
    "created_epoch": "1571529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571529600000",
    "number": "1083257372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12582 CLEM DR",
            "city": "MARIETTA",
            "state": "OK",
            "postal_code": "734482165",
            "telephone_number": "580-276-3245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 FAIRLANE AVE",
            "city": "SULPHUR",
            "state": "OK",
            "postal_code": "730866861",
            "telephone_number": "580-622-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "CLARIZZA",
        "credential": "APRN, CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-20",
        "last_updated": "2019-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "OK",
            "license": "61627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Lynn Ball, RN
• Jo Boles
• Evan Lee Bragg, O.D.
• Charity R Bridges, LPN
• Leisa Gayle Carr
• John Carroll Casady Jr., APRN-CNP
• Braley Rae Claxton, PTA
• Margaret A Coker, D.D.S
• Amanda V Conley, PHARMD
• Connections NLP, LLC

• Adult Health Clinical Nurse Specialist in Sulphur, OK
• Providers in Sulphur, OK by specialty
• Adult Health Clinical Nurse Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.

Verify at the official NPI Registry.