Janie Carroll

Primary specialty

Continuing Education/Staff Development Registered NurseTaxonomy code 163WC1600X

License

619319-1 Issued in NY

Practice address

1415 E 3Rd Ave
Bay Shore, NY 11706-4203

Phone

(631) 968-1202

NPI assigned

Apr 24, 2025

Last updated

Apr 24, 2025By 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

State licenses

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

{
    "created_epoch": "1745452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1700673464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 E 3RD AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117064203",
            "telephone_number": "631-968-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 E 3RD AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117064203",
            "telephone_number": "631-968-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "JANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-24",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "NY",
            "license": "619319-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jullissa Amanda Cardona, LPN
• Care Guidance Services DNP, NP in Family Health, PLLC.
• Yrena Carlson, LPN
• Carmine F. Zito & Associates Inc.
• Marsha Sorayah Caron
• Kevin Andrew Scott Carroll II, M.D.
• Eric Carter, LMSW
• Latoya Carthens, LPN
• Dennis Caruana, M.D.
• Phillip Joseph Caruso, DPT

• Continuing Education/Staff Development Registered Nurse in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Continuing Education/Staff Development Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.