Kelsey Paige Carroll
Individual provider Active NPI Nurse's Aide · New Tazewell, TN
NPI 1891209623 · NPPES record last updated Dec 1, 2017
Key facts
- NPI
- 1891209623
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- License
- 170225 (TN)
- Practice address
- 1596 Highway 33 S
New Tazewell, TN 37825-7104 - Phone
- (423) 626-8271
- Fax
- (865) 342-0106
- NPI assigned
- Dec 1, 2017
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 170225 | TN | MD | Nurse's Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 170225 | TN | Yes |
Addresses
Primary practice location
1596 Highway 33 S
New Tazewell, TN 37825-7104
Mailing address
6350 W Andrew Johnson Hwy Dept 100
Talbott, TN 37877-8605
Phone (800) 355-3565
Other providers in New Tazewell, TN
- Quinn F Bowring
- William Herbert Brooks
- Juanita M Brown
- Jessica Broyles
- Mary Lou Cameron
- Cherokee Health Systems
- Claiborne Care Center
- Joseph J Collins
- Brianna Cooke
- Kathryn Linley Cowan
All providers in New Tazewell, TN · Nurse's Aide in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2017. 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.