Carrie A. Stoller, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

COA.07379-NP Issued in OH

Practice address

Gastro-Intestinal Associates, Inc.
2793 Shawnee Rd.
Lima, OH 45806-1444

Phone

(419) 227-8209

Fax

(419) 222-6007

NPI assigned

Dec 5, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Gcga Physicians Inc.

  • Gastroenterology Physician
  • Cincinnati, OH
  • NPI 1790851095
  Medicare reassignment NPD
• Community Care Health Network LLC

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1619368842

  OH

  Medicare reassignment
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Mercy Health Physicians Lima, LLC

  • Family Medicine Physician
  • Lima, OH
  • NPI 1225292865
  NPD (past)

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1801870746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GASTRO-INTESTINAL ASSOCIATES, INC.",
            "address_2": "2793 SHAWNEE RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458061444",
            "telephone_number": "419-227-8209",
            "fax_number": "419-222-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GASTRO-INTESTINAL ASSOCIATES, INC.",
            "address_2": "2793 SHAWNEE RD.",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458061444",
            "telephone_number": "419-227-8209",
            "fax_number": "419-222-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLLER",
        "first_name": "CARRIE",
        "middle_name": "A.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-05",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "07379",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA.07379-NP",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "COA07379-NP",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2415818",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00864681",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosalie A. Stluka, M.S.W., L.I.S.W.
• Melody Stockdale
• Jon C. Stocker, D.D.S.
• Michelle Leslie Stockwell, MSW, LISW-S
• Tricia Stoker
• Jessica Stolly, LISW
• Kimberly Beach Stolly, CCC SLP
• Marla Stone, RD, LD
• Kelsey Stoner, LSW
• Bridgett L Storer

• Nurse Practitioner in Lima, OH
• Providers in Lima, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.