KRISTEN L. CARROLL M.D. NPI 1366407488

NPI Information

  • NPI: 1366407488
  • Provider Name: KRISTEN L. CARROLL, M.D.
  • Classification: Orthopaedic Surgery - 207XP3100X
  • Specialization: Pediatric Orthopaedic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: FAIRFAX ROAD AT VIRGINIA STREET
    SHRINERS HOSPITAL FOR CHILDREN
    SALT LAKE CITY, UT
    ZIP 84103
  • Phone: (801) 536-3600

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NPI Details

Kristen L. Carroll, M.D. is a pediatric orthopaedic surgery orthopaedic surgery in Salt Lake City, UT with 36 years of experience. The provider is an orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. Kristen L. Carroll, M.D. NPI is 1366407488. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduation Year:1990

The provider's business location address is:

FAIRFAX ROAD AT VIRGINIA STREET
SHRINERS HOSPITAL FOR CHILDREN
SALT LAKE CITY, UT
ZIP 84103-399
Phone: (801) 536-3600
Fax: (801) 536-3686

The NPI 1366407488 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 4/20/2006 and was last updated on 12/3/2021.

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
1207X00000XOrthopaedic Surgery184860-1205UTAHNo
2207XP3100XOrthopaedic SurgeryPediatric Orthopaedic Surgery184860-1205UTAHYes

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
176621073MEDICAIDUTAH

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: 11/21/2025

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