Columbus Convenient Care Clinic, LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

COLUMBUS CONVENIENT CARE CLINIC, LLC

Practice address

2686A Crossroads Plaza Dr
Columbus, OH 43219-3442

Phone

(877) 318-0934

Fax

(888) 831-0965

NPI assigned

Jul 15, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Latonya Carroll, DNP, APRN, CNPNPI 1700056033

Title

Nurse Practitioner

Phone

(877) 318-0934

Specialties & licenses 5

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Latonya Janett Carroll, DNP, APRN.CNP

  • Family Nurse Practitioner
  • Columbus, OH
  • NPI 1700056033
  NPD Authorized official

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1629640990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2686A CROSSROADS PLAZA DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432193442",
            "telephone_number": "877-318-0934",
            "fax_number": "888-831-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2686A CROSSROADS PLAZA DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432193442",
            "telephone_number": "877-318-0934",
            "fax_number": "888-831-0965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS CONVENIENT CARE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "LATONYA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "877-318-0934",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, APRN, CNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Columbus Children'S Hospital
• Columbus City Schools
• Columbus City Schools
• Columbus Community Health Regional Sleep Disorders Center Inc
• Columbus Community Home Care, LLC
• Columbus Counseling and Mentoring Institute
• Columbus Counseling and Mentoring Institute
• Columbus Counseling and Psychological Services
• Columbus Dental Care, Whitney M. Moore DDS
• Columbus East Chiropractic LLC

• Nurse Practitioner in Columbus, OH
• Providers in Columbus, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.