Jennifer Deann Carroll, R.N., B.S.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN141280 Issued in AZ

Practice address

1 Mile N of Pinon on Navajo Rte 41
Pinon, AZ 86510

Phone

(928) 725-2214

Fax

(928) 725-2216

NPI assigned

Feb 14, 2007

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

Practice roles

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.

• Pinon Unified School District #4

  • Local Education Agency (LEA)
  • Pinon, AZ
  • NPI 1649457151
  NPD (past)

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659413573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 839",
            "city": "PINON",
            "state": "AZ",
            "postal_code": "86510",
            "telephone_number": "928-725-2214",
            "fax_number": "928-725-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MILE N OF PINON ON NAVAJO RTE 41",
            "city": "PINON",
            "state": "AZ",
            "postal_code": "86510",
            "telephone_number": "928-725-2214",
            "fax_number": "928-725-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "JENNIFER",
        "middle_name": "DEANN",
        "credential": "R.N., B.S.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN141280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gladys Asong, PHARMD, PHD.
• Stephanie Alice Benally
• Charity Benson, PHARMD
• Betty Bizahaloni, LCSW
• Elaine Bizahaloni, LMSW
• Sarah Elizabeth Cooper
• James P. Corcoran, DPT
• Angela Curtright, M.S. CCC-SLP
• DHHS PHS Naihs Chinle Comprehensive Health Care Facility (Pinon Health Center)
• DHHS PHS Naihs Chinle Comprehensive Health Care Facility (Pinon Health Center Behavioral Health)

• Registered Nurse in Pinon, AZ
• Providers in Pinon, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.