Active NPIIndividual provider

Kathleen M Carroll, NURSE PRACTITIONER

Nurse Practitioner, Adult Health in Mashpee, Massachusetts

NPI Number1851436059
Practice location
5 Industrial Drive Rogers Outpatient Center, Suite 100, Mashpee, MA 02649
Fax
508-539-6134
Last updated
May 28, 2014

Kathleen Mary Carroll is a Nurse Practitioner, Adult Health based in Mashpee, MA. Kathleen Mary Carroll practices in Mashpee, MA and has the professional credentials of NURSE PRACTITIONER. The NPI Number for Kathleen Mary Carroll is 1851436059 and holds a License No. 148085 (MA). The current practice location address for Kathleen Mary Carroll is 5 Industrial Drive Rogers Outpatient Center, Suite 100, Mashpee, MA 02649 and can be reached out via phone at 508-477-4272 and via fax at 508-539-6134.

Provider Profile Details

NPI Number
1851436059
Provider Name
Kathleen Mary Carroll
Credential
NURSE PRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
5 Industrial Drive Rogers Outpatient Center, Suite 100, Mashpee, MA 02649
Phone Number
508-477-4272
Fax Number
508-539-6134
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Sole Proprietor
No
Provider Enumeration Date
February 21, 2007
Last Update Date
May 28, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
5 Industrial Drive Rogers Outpatient Center
Suite 100
Mashpee, MA 02649
Zip
02649
Phone Number
508-477-4272
Fax Number
508-539-6134
Mashpee, MA 02649Get directions →

Provider Business Mailing Address Details

Address
5 Industrial Drive Rogers Outpatient Center
Mashpee Family Medicine Suite 100
Mashpee, MA 02649
City
Mashpee
State
MA
Zip
02649
Phone Number
508-477-4282
Fax Number
508-539-6134

License Information

License Number
148085
License State
MA
Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kathleen M Carroll, NURSE PRACTITIONER?

The NPI number of Kathleen M Carroll, NURSE PRACTITIONER is 1851436059. It was assigned on February 21, 2007 and is currently active in the NPPES registry.

What is the specialty of Kathleen M Carroll, NURSE PRACTITIONER?

Kathleen M Carroll, NURSE PRACTITIONER is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in MA under license number 148085.

Where does Kathleen M Carroll, NURSE PRACTITIONER practice?

The practice location is 5 Industrial Drive Rogers Outpatient Center, Suite 100, Mashpee, MA 02649. The office can be reached at 508-477-4272 (phone) or 508-539-6134 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1851436059 directly on the NPPES registry website.

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