Donna Carrillo, APRN

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

3002353 Issued in KY

Practice address

3940 Dupont Cir
Louisville, KY 40207-4806

Phone

(502) 895-1111

Fax

(502) 895-1085

NPI assigned

Aug 31, 2005

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Partners in Womens Health

  • Obstetrics & Gynecology Physician
  • Louisville, KY
  • NPI 1245271147
  NPD (past)

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340236800000",
    "number": "1295729630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 DIXIE HWY",
            "address_2": "SUITE 130",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402583913",
            "telephone_number": "502-895-1111",
            "fax_number": "502-895-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 DUPONT CIR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074806",
            "telephone_number": "502-895-1111",
            "fax_number": "502-895-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "DONNA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-31",
        "last_updated": "2012-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "KY",
            "license": "3002353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78005790",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrie M. Heuser, Inc
• Emily Carrier, M.A., CF-SLP
• Suzanne Carrier
• Rachel Christine Carrigan, RPH
• Christina Maria Carrillo, CRNA
• Ashley Elizabeth Carrithers, RD
• Bridget Virginia Carrithers, OTR/L
• Robert Wilson Carrithers, RPH
• Alison Cleveland Carroll, M.A., CCC-SLP
• Anna Nadine Carroll, LPC

• Obstetrics & Gynecology Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Obstetrics & Gynecology Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.