Individual provider Active NPI

Amy Lyn Carroll, RN

  • Registered Nurse
  • Middletown, RI
National Provider Identifier
1619669991
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN40572 Issued in RI
Practice address
127 Johnny Cake Hill Rd
Middletown, RI 02842-5674
Phone
(401) 846-1213
Fax
(401) 848-9151
NPI assigned
May 24, 2023
Last updated
May 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN40572 RI Primary

Addresses

Primary practice location

127 Johnny Cake Hill Rd
Middletown, RI 02842-5674

Mailing address

127 Johnny Cake Hill Rd
Middletown, RI 02842-5674
Phone (401) 846-1213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN40572RIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1619669991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 JOHNNY CAKE HILL RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028425674",
            "telephone_number": "401-846-1213",
            "fax_number": "401-848-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 JOHNNY CAKE HILL RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028425674",
            "telephone_number": "401-846-1213",
            "fax_number": "401-848-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "AMY",
        "middle_name": "LYN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "RI",
            "license": "RN40572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.