Sandra Jean Carroll, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP009579 Issued in PA

Practice address

117 Vip Dr
Suite 120
Wexford, PA 15090-6932

Phone

(724) 935-5330

Fax

(724) 935-5098

NPI assigned

Nov 16, 2007

Last updated

May 19, 2009By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Certified Registered Nurse

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.

• Quality Medical Associates, PC

  • Internal Medicine Physician
  • Butler, PA
  • NPI 1407316276
  Medicare reassignment NPD

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242691200000",
    "number": "1639350796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 PERRY HWY",
            "address_2": "SUITE 300",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375232",
            "telephone_number": "412-369-9550",
            "fax_number": "412-369-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 VIP DR",
            "address_2": "SUITE 120",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150906932",
            "telephone_number": "724-935-5330",
            "fax_number": "724-935-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "SANDRA",
        "middle_name": "JEAN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-16",
        "last_updated": "2009-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP009579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "POO692430",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Thomas Cargill, O.D.
• Thomas F Carmen, MD
• Suzanne Carothers, RPH
• Cait Carpico, MSCP
• Megan Carrigan
• Valerie Carroll, PA-C
• Molly Carter, PSYD
• Daniel Lawrence Carto, R.PH.
• Amana Ferrari Carvalho, PSY.D.
• Brittany Elise Casey, CRNP

• Family Nurse Practitioner in Wexford, PA
• Providers in Wexford, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; 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.