Mandy Carroll, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

311995 Issued in NY

Practice address

415 Magee Ave
Rochester, NY 14613-1011

Phone

(585) 797-8964

NPI assigned

Jun 19, 2013

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

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371600000000",
    "number": "1255770616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 MAGEE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146131011",
            "telephone_number": "585-797-8964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 MAGEE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146131011",
            "telephone_number": "585-797-8964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "MANDY",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2013-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "311995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baylee Carroll, RD
• Christine Carroll, RN
• James E Carroll, P.A.
• Jennifer Carroll, M.D.
• Louise Carroll, M.D.
• Roger A Carroll, DDS
• Sean Martin Carroll
• Susan Carroll, LPN
• Thomas Mark Carroll II, M.D., PH.D.
• Kaitlin Carrozza, PSY.D.

• Licensed Practical Nurse in Rochester, NY
• Providers in Rochester, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.