Active NPI
Kathryn Anne Carroll
- Case Manager/Care Coordinator
- Escanaba, MI
National Provider Identifier
1124835368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 6852094220
- Practice address
- 2500 7TH Ave S
Escanaba, MI 49829-1176 - Phone
- (906) 233-1393
- NPI assigned
- Dec 11, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 6852094220 | MI | Primary |
Addresses
Primary practice location
2500 7TH Ave S
Escanaba, MI 49829-1176
Mailing address
6618 Laura M.25 St
Escanaba, MI 49829-9434
Phone (906) 241-0148
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6852094220 | MI | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734048000000",
"number": "1124835368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6618 LAURA M.25 ST",
"city": "ESCANABA",
"state": "MI",
"postal_code": "498299434",
"telephone_number": "906-241-0148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 7TH AVE S",
"city": "ESCANABA",
"state": "MI",
"postal_code": "498291176",
"telephone_number": "906-233-1393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARROLL",
"first_name": "KATHRYN",
"middle_name": "ANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-11",
"last_updated": "2024-12-13",
"certification_date": "2024-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "MI",
"license": "6852094220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Escanaba, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.