Keyleiaujolea Stella-Marie Carroll

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

2257 Myrtle Ave
Eureka, CA 95501-3486

Phone

(707) 444-8293

NPI assigned

Nov 17, 2025

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

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.

• Changing Tides Family Services

  • Community/Behavioral Health Agency
  • Eureka, CA
  • NPI 1992338669
  NPD

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

{
    "created_epoch": "1763337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1477413805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3945 DAVIS CT",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955036085",
            "telephone_number": "707-497-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2257 MYRTLE AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013486",
            "telephone_number": "707-444-8293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "KEYLEIAUJOLEA",
        "middle_name": "STELLA-MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-17",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Carpinelli
• Patrick Arch Carr, MFT
• Jehmima Carril
• Shiloh Emerald Rain Carrillo
• Cleo Carrino
• Pauli Jean Carroll
• Patrick Carrow
• Amber Carter
• Dwight Carter, RN
• Heidi Carter, LPT, MFT-I

• Rehabilitation Practitioner in Eureka, CA
• Providers in Eureka, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; 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.