JANET CARROLL R.N. M.T. NPI 1124494505

NPI Information

NPI: 1124494505
Provider Name: JANET CARROLL, R.N., M.T.
Classification: Registered Nurse - 163WM1400X
Entity Type: Individual

Specialization: Nurse Massage Therapist (NMT)

Address:
5111 N BEND DR
FORT WAYNE, IN
ZIP 46804
Phone: (260) 436-8807
Get Directions

Janet Carroll, R.N., M.T. is a nurse massage therapist (nmt) registered nurse in Fort Wayne, IN. Janet Carroll, R.N., M.T. NPI is 1124494505. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5111 N BEND DR
FORT WAYNE, IN
ZIP 46804-753
Phone: (260) 436-8807
Fax: (260) 436-2767

The enumeration date for this NPI number is 8/19/2015 and was last updated on 8/19/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		MT20901877	INDIANA	No
2	163WM1400X	Registered Nurse	Nurse Massage Therapist (NMT)	28057959A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	28057959A	OTHER	INDIANA	REGISTERED NURSE
2	MT20901877	OTHER	INDIANA	MASSAGE THERAPIST

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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