Individual provider Active NPI

Latonya Janett Carroll, DNP, APRN.CNP

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1700056033
Registry record updated Oct 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9398617 Issued in FL
Practice address
655 N Cassady Ave Ste 7
Columbus, OH 43219-2720
Phone
(410) 569-8940
Fax
(614) 375-4130
NPI assigned
Mar 3, 2008
Last updated
Oct 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2025

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 104979 WV
Family Nurse Practitioner 363LF0000X 344401 NY
Family Nurse Practitioner 363LF0000X 5573 MN
Family Nurse Practitioner 363LF0000X 820843 NV
Family Nurse Practitioner 363LF0000X 081831-23 NH
Family Nurse Practitioner 363LF0000X APRN9398617 FL Primary
Family Nurse Practitioner 363LF0000X APRN02420 RI
Family Nurse Practitioner 363LF0000X C-APN.0002166-C-NP CO
Family Nurse Practitioner 363LF0000X 13287 OH
Family Nurse Practitioner 363LF0000X CNP171188 ME
Family Nurse Practitioner 363LF0000X 0024178144 VA
Family Nurse Practitioner 363LF0000X 2777000957 IL
Family Nurse Practitioner 363LF0000X A159261 IA
Family Nurse Practitioner 363LF0000X APN.30507 SC
Family Nurse Practitioner 363LF0000X 8581 CT

Addresses

Primary practice location

655 N Cassady Ave Ste 7
Columbus, OH 43219-2720

Mailing address

1391 W 5TH Ave # 241
Columbus, OH 43212-2902
Phone (877) 318-0934

Other practice location 1

1391 W 5th Ave # 241
Columbus, OH 43212-2902
Phone (614) 569-8940

Other practice location 2

103 Randolph Ave Ste 201
Elkins, WV 26241-4067
Phone (877) 318-0934

Other practice location 3

166 Valley St Bldg 6M
Providence, RI 02909-2400
Phone (877) 318-0934

Other practice location 4

4803 N Milwaukee Ave Ste B
Chicago, IL 60630-2146
Phone (877) 318-0934

Other practice location 5

347 Madison Ave
Skowhegan, ME 04976-4238
Phone (877) 318-0934

Other practice location 6

2686 Crossraods Plaza Drive
Columbus, OH 43219
Phone (877) 318-0934

Other practice location 7

1054 Cass Ave
Woonsocket, RI 02895-4935
Phone (866) 389-2727

Other identifiers 2

IdentifierTypeStateIssuer
0100318MedicaidOH
222585900MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, CT, NH, FL, RI, ME, GA, DC, PA, VA, SC, NY, NC13 enrollments
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 13

Enrollment IDStateProvider typePAC IDDetails
I20171004002358 KS Practitioner - Nurse Practitioner 6901053149 Reassigns benefits to 1 organization
I20200520001793 CT Practitioner - Nurse Practitioner 6901053149
I20200526000680 NH Practitioner - Nurse Practitioner 6901053149
I20250627000115 FL Practitioner - Nurse Practitioner 6901053149 Reassigns benefits to 1 organization
I20250725002562 RI Practitioner - Nurse Practitioner 6901053149
I20250725002991 ME Practitioner - Nurse Practitioner 6901053149
I20250731003471 GA Practitioner - Nurse Practitioner 6901053149
I20250804002511 DC Practitioner - Nurse Practitioner 6901053149 Reassigns benefits to 1 organization
I20250805001674 PA Practitioner - Nurse Practitioner 6901053149 Reassigns benefits to 1 organization
I20250805003562 VA Practitioner - Nurse Practitioner 6901053149 Reassigns benefits to 1 organization
I20251028002616 SC Practitioner - Nurse Practitioner 6901053149 Reassigns benefits to 1 organization
I20251111000149 NY Practitioner - Nurse Practitioner 6901053149 Reassigns benefits to 1 organization
I20251211001425 NC Practitioner - Nurse Practitioner 6901053149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians
Rappahannock-Rapidan Community Services BoardGroup PAC ID 5496649584, 7 clinicians

Practice addresses (Care Compare)

12280 Lake Underhill Rd
Orlando, FL 32825-5009
Phone (866) 389-2727

16240 Bennett Rd
Culpeper, VA 22701-4630
Phone (540) 825-5656

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner, Physician Assistant

State licenses

LicenseStateTypeSpecialty
C-APN.0002166-C-NPCOMDFamily Nurse Practitioner
8581CTMDFamily Nurse Practitioner
APRN9398617FLMDFamily Nurse Practitioner
A159261IAMDFamily Nurse Practitioner
2777000957ILMDFamily Nurse Practitioner
CNP171188MEMDFamily Nurse Practitioner
5573MNMDFamily Nurse Practitioner
081831-23NHMDFamily Nurse Practitioner
820843NVMDFamily Nurse Practitioner
344401NYMDFamily Nurse Practitioner
APN.30507SCMDFamily Nurse Practitioner
0024178144VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MC Medical Group of DC, PC Single Specialty CurrentSince Sep 26, 2025 Accepting new patients
Minuteclinic Diagnostic South Carolina LLC Single Specialty CurrentSince Sep 26, 2025 Accepting new patients
Medical Group of New York, P.C. Single Specialty CurrentSince Jul 27, 2025 Accepting new patients
Minuteclinic Diagnostic of Kansas PA Single Specialty CurrentSince Jul 21, 2025 Accepting new patients
Columbus Convenient Care Clinic, LLC Nurse Practitioner Current Accepting new patients
Minuteclinic Diagnostic of North Carolina PC Single Specialty CurrentSince Dec 3, 2025 Accepting new patients
Minuteclinic Diagnostic of Pennsylvania LLC Single Specialty CurrentSince Jul 21, 2025 Accepting new patients

Locations

320 40th St NE
Washington, DC 20019
Phone (202) 236-1840

845 Bladensburg Rd NE
Washington, DC 20002
Phone (202) 247-6551

11729 Roe Ave
Shawnee Mission, KS 66211
Phone (913) 345-8404

2340 Spring Forest Rd
Raleigh, NC 27615
Phone (919) 790-6401

6840 Glenwood Ave
Raleigh, NC 27612
Phone (401) 770-4415

107 S Country Rd
Bellport, NY 11713
Phone (631) 286-2222

375 White Plains Rd
Eastchester, NY 10709
Phone (914) 337-5300

7960 Metropolitan Ave
Middle Village, NY 11379
Phone (718) 326-4910

1218 E Lancaster Ave
Bryn Mawr, PA 19010
Phone (610) 519-1920

840 S Valley Forge Rd
Lansdale, PA 19446
Phone (215) 362-6303

1500 Spruce St
Philadelphia, PA 19102
Phone (215) 790-3290

1 Cvs Dr
#2295
Woonsocket, RI 02895
Phone (401) 770-8043

698 Fairview Rd
Simpsonville, SC 29680
Phone (864) 573-5313

Organizations & group practices 10

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.

Hospital & facility affiliations 1

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": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761350400000",
    "number": "1700056033",
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            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432122902",
            "telephone_number": "877-318-0934",
            "fax_number": "888-831-0965"
        },
        {
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            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432192720",
            "telephone_number": "410-569-8940",
            "fax_number": "614-375-4130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1391 W 5th Ave # 241",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432122902",
            "country_code": "US",
            "telephone_number": "614-569-8940",
            "fax_number": "614-375-4130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 Randolph Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Elkins",
            "state": "WV",
            "postal_code": "262414067",
            "country_code": "US",
            "telephone_number": "877-318-0934",
            "fax_number": "888-831-0965",
            "country_name": "United States",
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        },
        {
            "address_1": "166 Valley St Bldg 6M",
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            "state": "RI",
            "postal_code": "029092400",
            "country_code": "US",
            "telephone_number": "877-318-0934",
            "fax_number": "888-831-0965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4803 N Milwaukee Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606302146",
            "country_code": "US",
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            "fax_number": "888-831-0965",
            "country_name": "United States",
            "address_type": "DOM"
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        {
            "address_1": "347 Madison Ave",
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            "state": "ME",
            "postal_code": "049764238",
            "country_code": "US",
            "telephone_number": "877-318-0934",
            "fax_number": "888-831-0965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2686 Crossraods Plaza Drive",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "43219",
            "country_code": "US",
            "telephone_number": "877-318-0934",
            "fax_number": "888-831-0965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1054 Cass Ave",
            "address_purpose": "LOCATION",
            "city": "Woonsocket",
            "state": "RI",
            "postal_code": "028954935",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "LATONYA",
        "middle_name": "JANETT",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN.CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-03",
        "last_updated": "2025-10-25",
        "certification_date": "2025-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "104979",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "344401",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "5573",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "820843",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "081831-23",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9398617",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN02420",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.0002166-C-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "13287",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP171188",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024178144",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "2777000957",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A159261",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
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            "license": "APN.30507",
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        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "8581",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0100318",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "222585900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.