Rachel Songmin Carroll, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

294002 Issued in AZ

Practice address

1933 W Main St Ste 1
Mesa, AZ 85201-6930

Phone

(480) 283-5330

NPI assigned

Jan 26, 2023

Last updated

Aug 9, 2023By 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

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pathway Health & Wellness LLC

  dba Pathway Health & Wellness

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1376220368
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1427764000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 S CORRINE DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964154",
            "telephone_number": "148-028-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 W MAIN ST STE 1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852016930",
            "telephone_number": "480-283-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "RACHEL",
        "middle_name": "SONGMIN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "294002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward A. Carrington, M.D.
• Nora Andrea Carrizosa
• Lafe J Carroll, D.O.
• Maloree Carroll, SLPA
• Michele Carroll, SLP
• Carrot Eye Center, PLLC
• Carrot Eye Surgery LLC
• Carrot Lasik LLC
• Bradley Carson, DC
• Tracy Kerr Carson, LAC

• Nurse Practitioner in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.