Kendal Suzanne Carroll
Individual provider Active NPI Family Nurse Practitioner · Crystal River, FL
NPI 1336077593 · NPPES record last updated Aug 25, 2026
Key facts
- NPI
- 1336077593
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN11050400 (FL)
- Practice address
- 6410 W Gulf to Lake Hwy
Crystal River, FL 34429-7622 - Phone
- (352) 563-2450
- NPI assigned
- May 9, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9568044 | FL | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11050400 | FL | Yes |
Addresses
Primary practice location
6410 W Gulf to Lake Hwy
Crystal River, FL 34429-7622
Mailing address
20693 Powell Rd
Dunnellon, FL 34431-6516
Phone (352) 229-1243
Other providers in Crystal River, FL
- Care Clinic, Inc
- Care One Orthotics LLC
- Carebuddy of Marion County FL LLC
- Cassidy Carlson
- Caitlin Halley Carroll
- Mary Puckett Carroll
- Joel Proctor Carter
- Rachel Caudill
- CDPG, P.L.
- Cedar Creek at Kings Bay, Inc
All providers in Crystal River, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.