KATHLEEN KELLI CARROLL NP NPI 1811425382

NPI Information

NPI: 1811425382
Provider Name: KATHLEEN KELLI CARROLL, NP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
8424 NAAB RD STE 1L
INDIANAPOLIS, IN
ZIP 46260
Phone: (317) 338-7780
Get Directions

Kathleen Kelli Carroll, NP is a gerontology nurse practitioner in Indianapolis, IN with 7 years of experience. Kathleen Kelli Carroll, NP NPI is 1811425382. 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:

8424 NAAB RD STE 1L
INDIANAPOLIS, IN
ZIP 46260-954
Phone: (317) 338-7780

The NPI 1811425382 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/30/2017 and was last updated on 10/11/2023.

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	363LA2200X	Nurse Practitioner	Adult Health	71007306A	INDIANA	No
2	363LG0600X	Nurse Practitioner	Gerontology	71007306A	INDIANA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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