Patricia Ann Carroll, RN, LPC

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

Practice address

17565 SW Chippewa TRL
Tualatin, OR 97062-8478

Phone

(503) 692-6123

NPI assigned

Jul 20, 2006

Sex

Female

Sole proprietor

Yes

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

Credentials

Registered Nurse

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.

• Pacot, Inc.

  • Community Health Registered Nurse
  • Tualatin, OR
  • NPI 1497766695

  Community Health

  NPD (past) Authorized official

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366462707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17565 SW CHIPPEWA TRL",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628478",
            "telephone_number": "503-692-6123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17565 SW CHIPPEWA TRL",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628478",
            "telephone_number": "503-692-6123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "RN, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Carini
• Bonnie Oldham Carlson, OTR/L
• David Allen Carr, PT
• Julia M Carr, MD
• Marcus Paul Carr, M.D.
• Cascade Occupational Medicine Physicians Inc
• Cascade Orthopaedic Group, P.C.
• Cascade Physicians, P.C.
• Cascade Spine Center, LLC
• Joanna T Cashman, RN

• All providers in Tualatin, OR
• Community Health Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.