Individual provider Active NPI

Carol Schroll, LMP

  • Specialist
  • Redmond, WA
National Provider Identifier
1215178231
Registry record updated Mar 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA 00012223 Issued in WA
Practice address
3662 172ND Ave NE
Redmond, WA 98052-5702
Phone
(206) 229-2577
NPI assigned
Mar 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA 00012223 WA Primary

Addresses

Primary practice location

3662 172ND Ave NE
Redmond, WA 98052-5702

Mailing address

3662 172ND Ave NE
Redmond, WA 98052-5702
Phone (206) 229-2577

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

LicenseStateTypeSpecialty
MA 00012223WAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237507200000",
    "number": "1215178231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3662 172ND AVE NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980525702",
            "telephone_number": "206-229-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3662 172ND AVE NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980525702",
            "telephone_number": "206-229-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROLL",
        "first_name": "CAROL",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-20",
        "last_updated": "2009-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA 00012223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2009; 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.