Carla Dawn Carroll, M.D.
Individual provider Active NPI Psychiatry Physician · Gardnerville, NV
NPI 1760416028 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1760416028
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 5848 (NV)
- Practice address
- 1559 Watasheamu Rd
Gardnerville, NV 89460-7455 - Phone
- (775) 265-4215
- NPI assigned
- Jul 10, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5848 | NV | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 5848 | NV | Yes |
Addresses
Primary practice location
1559 Watasheamu Rd
Gardnerville, NV 89460-7455
Mailing address
5610 Laurel Road
Carson City, NV 89701
Phone (775) 885-2981
Other providers in Gardnerville, NV
- Maggie Savannah Burns
- Kellie Ann Butterworth
- Nancy Therese Caddigan
- Celeste Marie Callinan
- Richard Allen Cao
- Carson City Community Counseling Center
- Carson City Finance Dept.
- Carson Valley Medical Center Rural Health Clinic
- Carson Valley Senior Living LLC
- Tracy Cassity
All providers in Gardnerville, NV · Psychiatry Physician in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.