Leah Carroll, RDMS

Primary specialty

Sonography Radiologic TechnologistTaxonomy code 2471S1302X

License

134780 Issued in FL

Practice address

145 Hilden Rd Ste 113
Ponte Vedra, FL 32081-8401

Phone

(904) 465-9062

NPI assigned

Feb 1, 2016

Last updated

Aug 12, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Upscale Ultrasound & Mobile 3D 4D, LLC

  • Radiology Clinic/Center
  • Ponte Vedra, FL
  • NPI 1942751110
  NPD (past) Authorized official

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470960000000",
    "number": "1871951244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 HILDEN RD STE 113",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320818401",
            "telephone_number": "904-465-9062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 HILDEN RD STE 113",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320818401",
            "telephone_number": "904-465-9062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "LEAH",
        "credential": "RDMS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-01",
        "last_updated": "2016-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "FL",
            "license": "134780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cancer Specialists, LLC (Cancer Specialists of North Florida)
• Yuliya Caprietta, ARNP
• Care on Call Pediatrics LLC
• Carlson Medical, PLLC (Wise Women)
• Daniel Carr
• Cathy Dacquel Inc
• Kimberly M Chandler, MSH, RD, LD/N
• Courtney Wells Chartrand, NP
• Natalie Clem
• Coastal Counseling of North Florida, LLC

• Sonography Radiologic Technologist in Ponte Vedra, FL
• Providers in Ponte Vedra, FL by specialty
• Sonography Radiologic Technologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; 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.