Lachelle Sophia Carroll, REGISTER NURSE

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

4704347124 Issued in MI

Practice address

14046 Stahelin Ave
Detroit, MI 48223-2985

Phone

(313) 549-2916

NPI assigned

Jan 5, 2020

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1578182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578182400000",
    "number": "1891334074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14046 STAHELIN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482232985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14046 STAHELIN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482232985",
            "telephone_number": "313-549-2916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "LACHELLE",
        "middle_name": "SOPHIA",
        "credential": "REGISTER NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-05",
        "last_updated": "2020-01-05",
        "certification_date": "2020-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "MI",
            "license": "4704347124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Marie Carrion-French, L.M.S.W.
• Aaniya Jackae Carroll
• Catherine Lynn Carroll, APRN, BC
• Deven Carroll, M.D.
• Fiona G Carroll, M.D.
• Lauren Carroll, MD
• Robyn T Carroll, LLPC
• Carson Adult Foster Care, Inc.
• Carson Afc, Inc.
• Lashawntelle Latrice Carson-Pops, LLMSW

• All providers in Detroit, MI
• Home Health Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2020; 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.