Melisa Lee Carroll
Individual provider Active NPI Case Manager/Care Coordinator · Salt Lake City, UT
NPI 1336767193 · NPPES record last updated Jul 8, 2020
Key facts
- NPI
- 1336767193
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 4460 S Highland Dr Ste 210
Salt Lake City, UT 84124-3550 - Phone
- (888) 949-4864
- NPI assigned
- Jul 8, 2020
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
4460 S Highland Dr Ste 210
Salt Lake City, UT 84124-3550
Mailing address
4460 S Highland Dr Ste 210
Salt Lake City, UT 84124-3550
Phone (888) 949-4864
Other providers in Salt Lake City, UT
- Brett Carroll
- Brett Lavar Carroll
- Erin Carroll
- Kelly D Carroll
- Kristen L. Carroll
- Anna Challice Carsey
- Madeline Grace Carsman
- Carah Lee Carson
- Chelsea Carson
- Kyle Carson
All providers in Salt Lake City, UT · Case Manager/Care Coordinator in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2020. 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.