Active NPI
Carolyn Ann Doyle
- Peer Specialist
- Marion, OH
National Provider Identifier
1972239788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- APS.003428
- Practice address
- 827 N Main St
Marion, OH 43302-1736 - Phone
- (740) 914-5000
- NPI assigned
- Jul 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | APS.003428 | OH | Primary |
Addresses
Primary practice location
827 N Main St
Marion, OH 43302-1736
Mailing address
264 S Seffner Ave
Marion, OH 43302-4329
Phone (740) 360-0843
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APS.003428 | OH | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658793600000",
"number": "1972239788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "264 S SEFFNER AVE",
"city": "MARION",
"state": "OH",
"postal_code": "433024329",
"telephone_number": "740-360-0843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "827 N MAIN ST",
"city": "MARION",
"state": "OH",
"postal_code": "433021736",
"telephone_number": "740-914-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOYLE",
"first_name": "CAROLYN",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-26",
"last_updated": "2022-07-26",
"certification_date": "2022-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OH",
"license": "APS.003428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.