Individual provider Active NPI

Julie Ann Carroll, AGNP-C

  • Gerontology Nurse Practitioner
  • West Warwick, RI
National Provider Identifier
1649954975
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN03655 Issued in RI
Practice address
45 Enfield Dr
West Warwick, RI 02893-1205
Phone
(401) 413-3739
NPI assigned
Jun 15, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LG0600X APRN03655 RI Primary

Addresses

Primary practice location

45 Enfield Dr
West Warwick, RI 02893-1205

Mailing address

45 Enfield Dr
West Warwick, RI 02893-1205
Phone (401) 413-3739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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

Enrollment IDStateProvider typePAC IDDetails
I20230705002305 RI Practitioner - Nurse Practitioner 8729447032 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Continuum Palliative Resources of Rhode Island PCGroup PAC ID 1557613437, 7 clinicians
Silver Spring Health Care Management IncGroup PAC ID 4688661127, 136 clinicians

Practice addresses (Care Compare)

1350 Division Rd
Suite 205
West Warwick, RI 02893-7554
Phone (401) 321-8101

905 Pontiac Ave
Cranston, RI 02920-7903
Phone (401) 464-6617

Hospital & facility affiliations

  • South County Home Health Home health agency, Wakefield, RI, CCN 417023
  • Amedisys Home Health Care Home health agency, Warwick, RI, CCN 417036
  • South County Hospital Inc Hospital, Wakefield, RI, CCN 410008
  • Our Lady of Fatima Hospital Hospital, North Providence, RI, CCN 410005
  • Roger Williams Medical Center Hospital, Providence, RI, CCN 410004
  • Kent County Memorial Hospital Hospital, Warwick, RI, CCN 410009
  • The Miriam Hospital Hospital, Providence, RI, CCN 410012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Spring Health Care Management, Inc. Single Specialty CurrentSince Jul 1, 2023 Accepting new patients
Silver Spring Health Care Management, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Silver Spring Health Care Management, Inc Single Specialty Past Accepting new patients

Locations

905 Pontiac Ave
Cranston, RI 02920
Phone (401) 464-6617

3461 S County Trl
Ste 301
East Greenwich, RI 02818
Phone (401) 471-6285

14 Woodruff Ave
Ste 1
Narragansett, RI 02882
Phone (401) 788-8591

14 Woodruff Ave
Narragansett, RI 02882
Phone (401) 661-8088

100 Kenyon Ave
Wakefield, RI 02879
Phone (401) 782-8000

120 Centerville Rd
Ste 2
Warwick, RI 02886
Phone (401) 562-1020

268 Post Rd
Ste 203
Westerly, RI 02891
Phone (401) 604-2530

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1649954975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 ENFIELD DR",
            "city": "WEST WARWICK",
            "state": "RI",
            "postal_code": "028931205",
            "telephone_number": "401-413-3739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 ENFIELD DR",
            "city": "WEST WARWICK",
            "state": "RI",
            "postal_code": "028931205",
            "telephone_number": "401-413-3739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "RI",
            "license": "APRN03655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Warwick, RI

Sources for this page

Verify at the official NPI Registry.