Individual provider Active NPI

Kevin Carroll, PARAMEDIC

  • Paramedic
  • Spotsylvania, VA
National Provider Identifier
1336053230
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ParamedicTaxonomy code 146L00000X
License
E050115307 Issued in VA
Practice address
10718 Holleybrooke Dr
Spotsylvania, VA 22553-1639
Phone
(804) 456-8533
NPI assigned
Sep 29, 2026
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X E050115307 VA Primary

Addresses

Primary practice location

10718 Holleybrooke Dr
Spotsylvania, VA 22553-1639

Mailing address

10718 Holleybrooke Dr
Spotsylvania, VA 22553-1639
Phone (804) 456-8533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1336053230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10718 HOLLEYBROOKE DR",
            "city": "SPOTSYLVANIA",
            "state": "VA",
            "postal_code": "225531639",
            "telephone_number": "804-456-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10718 HOLLEYBROOKE DR",
            "city": "SPOTSYLVANIA",
            "state": "VA",
            "postal_code": "225531639",
            "telephone_number": "804-456-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "KEVIN",
        "credential": "PARAMEDIC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-29",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "VA",
            "license": "E050115307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spotsylvania, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.