Kendal Suzanne Carroll

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11050400 Issued in FL

Practice address

6410 W Gulf to Lake Hwy
Crystal River, FL 34429-7622

Phone

(352) 563-2450

NPI assigned

May 9, 2026

Last updated

Aug 25, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1778284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1336077593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20693 POWELL RD",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "344316516",
            "telephone_number": "352-229-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 W GULF TO LAKE HWY",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344297622",
            "telephone_number": "352-563-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "KENDAL",
        "middle_name": "SUZANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-09",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11050400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Care Clinic, Inc
• Care One Orthotics LLC
• Carebuddy of Marion County FL LLC
• Cassidy Carlson, MS CF-SLP
• Caitlin Halley Carroll, PA-C
• Mary Puckett Carroll, RPH
• Joel Proctor Carter
• Rachel Caudill, COTA
• CDPG, P.L. (Christie Dental of Meadowcrest)
• Cedar Creek at Kings Bay, Inc (Cedar Creek)

• Family Nurse Practitioner in Crystal River, FL
• Providers in Crystal River, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.