Individual provider Active NPI

Marilyn Carroll, CRNP

  • Family Nurse Practitioner
  • Sherman Oaks, CA
National Provider Identifier
1922587989
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-073969 Issued in AL
Practice address
15477 Ventura Blvd Ste 101
Sherman Oaks, CA 91403-3047
Phone
(760) 835-4213
NPI assigned
Aug 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-073969 AL Primary

Addresses

Primary practice location

15477 Ventura Blvd Ste 101
Sherman Oaks, CA 91403-3047

Mailing address

4704 Whitesburg Dr SW Ste 201
Huntsville, AL 35802-1681
Phone (256) 213-1800

Other practice location 1

1500 S Olive St
Los Angeles, CA 90015-3023
Phone (213) 747-5542

Other practice location 2

4704 Whitesburg Dr SW Ste 201
Huntsville, AL 35802-1681
Phone (256) 213-1800

Other practice location 3

1874 Beltline Rd SW Ste 100
Decatur, AL 35601-5514
Phone (256) 213-1800

Other practice location 4

3809 Sullivan St Ste 6A
Madison, AL 35758-3146
Phone (256) 213-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20180919002900 AL Practitioner - Nurse Practitioner 2860743598 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capshaw Family CareGroup PAC ID 2163661703, 7 clinicians

Practice addresses (Care Compare)

15024 E Limestone Rd
Suite F
Harvest, AL 35749-7264
Phone (256) 216-1966

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Moulton, AL, CCN 017071
  • Huntsville Hospital Homecare Home health agency, Huntsville, AL, CCN 017119
  • Athens Limestone Hospital Hospital, Athens, AL, CCN 010079
  • Huntsville Hospital Hospital, Huntsville, AL, CCN 010039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Capshaw Family Care CurrentSince Jan 1, 2019 Accepting new patients
Tanner Community Care CurrentSince Oct 13, 2025 Accepting new patients

Locations

15024 E Limestone Rd
Ste F
Harvest, AL 35749
Phone (256) 216-1966

Interoperability endpoints

  • Direct secure messaging: marilyn.carroll@606990805237764.direct.elationemr.com

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1922587989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4704 WHITESBURG DR SW STE 201",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021681",
            "telephone_number": "256-213-1800",
            "fax_number": "256-429-9186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15477 VENTURA BLVD STE 101",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033047",
            "telephone_number": "760-835-4213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 S Olive St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900153023",
            "country_code": "US",
            "telephone_number": "213-747-5542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4704 Whitesburg Dr SW Ste 201",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358021681",
            "country_code": "US",
            "telephone_number": "256-213-1800",
            "fax_number": "256-429-9186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1874 Beltline Rd SW Ste 100",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "AL",
            "postal_code": "356015514",
            "country_code": "US",
            "telephone_number": "256-213-1800",
            "fax_number": "256-429-9186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3809 Sullivan St Ste 6A",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357583146",
            "country_code": "US",
            "telephone_number": "256-213-1800",
            "fax_number": "256-429-9186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "MARILYN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-10",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-073969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.