KATHLEEN ELIZABETH CARROLL MSN FNP-C NPI 1104367283

NPI Information

  • NPI: 1104367283
  • Provider Name: KATHLEEN ELIZABETH CARROLL, MSN, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 17 CENTRE PLAZA DR
    JACKSON, TN
    ZIP 38305
  • Phone: (731) 512-0104

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NPI Details

Kathleen Elizabeth Carroll, MSN, FNP-C is a family nurse practitioner in Jackson, TN with 9 years of experience. Kathleen Elizabeth Carroll, MSN, FNP-C NPI is 1104367283. 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:

17 CENTRE PLAZA DR
JACKSON, TN
ZIP 38305-862
Phone: (731) 512-0104

The NPI 1104367283 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Psychiatric diagnostic evaluation with medical services (HCPCS:90792)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Psychiatric diagnostic evaluation (HCPCS:90791)
  • Psychiatric diagnostic evaluation with medical services (HCPCS:90792)
  • Psychiatric diagnostic evaluation (HCPCS:90791)

The enumeration date for this NPI number is 3/9/2017 and was last updated on 3/9/2017.

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
1363LF0000XNurse PractitionerFamilyAPN0000022418TENNESSEEYes

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: 3/30/2025

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