Carrie Darrow Mitros

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146015278 Issued in IL

Practice address

2940 W Westridge PL
Carbondale, IL 62901-1082

Phone

(618) 457-1010

NPI assigned

Oct 25, 2021

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

Electronic endpoints 1

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": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1376207407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 S GLENVIEW DR",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629012246",
            "telephone_number": "206-293-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 W WESTRIDGE PL",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629011082",
            "telephone_number": "618-457-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITROS",
        "first_name": "CARRIE",
        "middle_name": "DARROW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146015278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carrie.mitros@aegistherapies.com",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "Aegis Therapies",
            "address_1": "1000 Fianna Way",
            "city": "Fort Smith",
            "state": "AR",
            "country_code": "US",
            "postal_code": "729199008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brittnie Mink
• Rebecca Minnis, PA-C
• Vanessa Miranda, BA
• Arslan Mirza, M.D
• Ashley Nicole Mitchell, APRN, FNP-BC
• Alicia Faye Mocaby
• James Nelson Mock, MD
• Yasoda Modali, M.D
• Kali Jo Moe, FNP-C
• Cathy S Moehring, LCPC

• Speech-Language Pathologist in Carbondale, IL
• Providers in Carbondale, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.