Kathy D Carroll, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

30461 Issued in WV

Practice address

115 Rosemar Rd
Suite 1
Parkersburg, WV 26104-7658

Phone

(304) 422-5600

Fax

(304) 422-5993

NPI assigned

Aug 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154438844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 ROSEMAR RD",
            "address_2": "SUITE 1",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261047658",
            "telephone_number": "304-422-5600",
            "fax_number": "304-422-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 ROSEMAR RD",
            "address_2": "SUITE 1",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261047658",
            "telephone_number": "304-422-5600",
            "fax_number": "304-422-5993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "KATHY",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "30461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810000585",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia Carper I, MA
• Breanne Nichole Carr, BS
• Danielle Carr
• Emily Carr, CASE MANGER
• Erin Nicole Carr, FNP
• Marie Carson
• Rachel E Carson, PHARMD
• Katelyn Carte
• Amelia Carter
• William E Cartwright, M.D.

• All providers in Parkersburg, WV
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.