Freth L Carroll, RN CNOR CRNFA
Individual provider Active NPI Registered Nurse First Assistant · Buda, TX
NPI 1093742264 · NPPES record last updated Dec 18, 2008
Key facts
- NPI
- 1093742264
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse First Assistant 163WR0006X
- License
- 222322 (TX)
- Practice address
- 1266 E Lone Star Dr
Buda, TX 78610-4885 - Phone
- (512) 376-9380
- Fax
- (512) 215-8485
- NPI assigned
- Jun 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 222322 | TX | MD | Registered Nurse First Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 222322 | TX | |
| Registered Nurse First Assistant | 163WR0006X | 222322 | TX | Yes |
Addresses
Primary practice location
1266 E Lone Star Dr
Buda, TX 78610-4885
Mailing address
1266 E Lone Star Drive
Buda, TX 78610
Phone (512) 376-9380
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149093001 | Medicaid | TX | |
| 89N901 | Other | TX | BLUE CROSS BLUE SHIELD |
Other names
- Ms. Freth L Brodie
Other providers in Buda, TX
- Cardiovascular Specialists of Texas, P.a.
- Yasmin Carmona
- Linda Kay Carney
- Gabriela Carranco
- Andrea Esther Carrasco
- Aubrey Cashner
- Anna Casteel
- Yovanny Castellanos
- Becky Castillo
- Stephanie Diane Castro
All providers in Buda, TX · Registered Nurse First Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.