Roselie Ann Carroll

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

107 7TH Ave
Fairbanks, AK 99701-5063

Phone

(907) 313-1333

NPI assigned

Feb 16, 2024

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

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.

• True North Recovery Inc

  • Community/Behavioral Health Agency
  • Fairbanks, AK
  • NPI 1417608340
  NPD

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1801651997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 E PARKS HWY",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547005",
            "telephone_number": "907-313-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 7TH AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015063",
            "telephone_number": "907-313-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "ROSELIE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiana Marie Carr, LMFT
• Sharon Carrasquillo Torres, AAS, CDC CT
• Karissa Carroll
• Loa Carroll
• Rebecka Carroll
• Cole Jaymes Carson, P.T.
• Ruth Kristine Carson, P.T.
• Carla Michelle Cartagena de Jesus, M.D
• Kylee Ann Carter
• Monique Leann Carter

• Peer Specialist in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Peer Specialist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.