Organization Active NPI

Carroll University Inc.

  • Student Health Clinic/Center
  • Waukesha, WI
National Provider Identifier
1740094192
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
CARROLL UNIVERSITY INC.
Practice address
100 N East Ave
Waukesha, WI 53186-3103
Phone
(262) 524-7233
Fax
(262) 650-4897
NPI assigned
Feb 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Authorized official

Name
Pamela Dolata, NPNPI 1932326204
Title
NP, Student Health Center Director
Phone
(262) 524-7233

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

100 N East Ave
Waukesha, WI 53186-3103

Mailing address

100 N East Ave
Waukesha, WI 53186-3103
Phone (262) 524-7233

Other identifiers 2

IdentifierTypeStateIssuer
1932326204MedicaidWI
1659488187MedicaidWI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D0897650Carroll University Student Health Center100 N East Ave, Waukesha, WI 53186Provider-performed microscopyFeb 9, 2027

National Provider Directory

National Provider Directory

Locations

100 N East Ave
Waukesha, WI 53186
Phone (262) 524-7233

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1740094192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N EAST AVE",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531863103",
            "telephone_number": "262-524-7233",
            "fax_number": "262-650-4897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N EAST AVE",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531863103",
            "telephone_number": "262-524-7233",
            "fax_number": "262-650-4897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLL UNIVERSITY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "DOLATA",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "NP, STUDENT HEALTH CENTER DIRECTOR",
        "authorized_official_telephone_number": "262-524-7233",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932326204",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659488187",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.