Tonya Michelle Carroll

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

132605 Issued in OH

Practice address

452 Hammond Ave
Mansfield, OH 44902-7858

Phone

(419) 522-3762

NPI assigned

Aug 25, 2010

Sex

Female

Sole proprietor

Yes

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, last updated by the provider on Aug 25, 2010.

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282694400000",
    "number": "1972819233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 HAMMOND AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449027858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 HAMMOND AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449027858",
            "telephone_number": "419-522-3762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "TONYA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-25",
        "last_updated": "2010-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "132605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor G. Carpenter
• Wyatt Carpenter
• Bunny L Carroll
• Lisa Carroll
• Rebekah Joy Carroll, CNP
• Clayton Scott Carsner
• Linda Carson, LPCC E
• Ann Denise Carter, RN
• Maria Carter
• Nicole Marie Carter, CDCA

• All providers in Mansfield, OH
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; 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.