Individual provider Active NPI

Debra K Carroll, ARNP

  • Women's Health Nurse Practitioner
  • Manhattan, KS
National Provider Identifier
1295051092
Registry record updated Apr 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
44259ARNP Issued in KS
Practice address
2030 Tecumseh
Manhattan, KS 67431
Phone
(785) 776-4779
Fax
(758) 565-6565
NPI assigned
Apr 19, 2010
Last updated
Apr 19, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 44259ARNP KS Primary

Addresses

Primary practice location

2030 Tecumseh
Manhattan, KS 67431

Mailing address

2030 Tecumseh
Riley County - Manhattan Health Department
Manhattan, KS 67431
Phone (785) 776-4779

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
44259ARNPKSMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271635200000",
    "number": "1295051092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 TECUMSEH",
            "address_2": "RILEY COUNTY - MANHATTAN HEALTH DEPARTMENT",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "67431",
            "telephone_number": "785-776-4779",
            "fax_number": "758-565-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 TECUMSEH",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "67431",
            "telephone_number": "785-776-4779",
            "fax_number": "758-565-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "DEBRA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-19",
        "last_updated": "2010-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "KS",
            "license": "44259ARNP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; 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.