Angelle Maria Carollo, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

20110661 Issued in LA

Practice address

1050 S Jefferson Davis Pkwy Ste 325
New Orleans, LA 70125-1234

Phone

(504) 821-7085

NPI assigned

Feb 23, 2017

Sex

Female

Sole proprietor

Yes

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

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 and National Provider Directory roles.

• Resources for Human Development

  • Community/Behavioral Health Agency
  • New Orleans, LA
  • NPI 1811265242
  NPD (past)

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

{
    "created_epoch": "1487808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1669911681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 S JEFFERSON DAVIS PKWY STE 325",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701251234",
            "telephone_number": "504-821-7085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 S JEFFERSON DAVIS PKWY STE 325",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701251234",
            "telephone_number": "504-821-7085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAROLLO",
        "first_name": "ANGELLE",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-23",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "LA",
            "license": "20110661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marketa Antionette Carmouche
• Robin Carmouche
• Sontra M Carmouche
• Sean Patrick Carnahan, D.O.
• Jocelyn Marie Carnicle
• Dominic Stephen Carollo, MD
• Carolyn Barahona PHD LLC
• Adrienne Adele Arbour Carona, MD
• McKay Resor Caronna, PHARMD
• D'Wan J Carpenter, D.O.

• Licensed Practical Nurse in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Licensed Practical Nurse in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; 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.