Mildred Carroll
Individual provider Active NPI Personal Care Attendant · Washington, DC
NPI 1508307133 · NPPES record last updated Mar 15, 2017
Key facts
- NPI
- 1508307133
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 64 Nicholson St NE
Washington, DC 20011 - Phone
- (202) 529-3670
- NPI assigned
- Mar 15, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
64 Nicholson St NE
Washington, DC 20011
Mailing address
64 Nicholson St NE
Washington, DC 20011
Phone (202) 529-3670
Other providers in Washington, DC
- Kayla Carroll
- Kendra Nicole Carroll
- Kira Lee Carroll
- Lawrence John Carroll
- Margaret Carroll
- Nancy Marie Carroll
- Patricia E Carroll
- Reagan Carroll
- Sara F. Carroll
- Sedricka Carroll
All providers in Washington, DC · Personal Care Attendant in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2017. 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.