KATHRYN CONNER CARROLL


Address: 17280 Highway 17, Lexington, MS 39095-6614
Phone: 6628341857

KATHRYN CONNER CARROLL (NPI# 1093226763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093226763
Entity Type Individual
Full Name KATHRYN CONNER CARROLL
Credential FNP-BC
Practice Address 17280 Highway 17
Lexington
MS 39095-6614
Mailing Address 1337 Linden Pl
Jackson
MS 39202-1806
Practice Telephone 6628341857
Mailing Telephone 6012128455
Enumeration Date 2017-10-20
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
902346 MS Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
201 E Washington St, Greenwood, MS 389304407 6624534522
276 Nissan Pkwy, Canton, MS 390467006 6018555275
300 Yazoo St, Lexington, MS 390953623 6628345000
33795 Highway 12 W, Durant, MS 390633568 6626530505
9715 Highway 12, Tchula, MS 391693692 6622354731

Other Providers KATHRYN CARROLL

NPI Name Taxonomy Address Enumeration
1740261361 Kathryn Carroll Physical Therapist 800 Route 28, Summerfield Park, Mashpee, MA 02649-3303 2005-11-10
1982086880 Kathryn Ford Carroll Pediatrics 85 John Maddox Drive Connector Nw, Rome, GA 30165-1233 2015-06-26
1992999114 Kathryn Kelly Carroll Social Worker 1645 W Jackson Blvd, Ste 302, Chicago, IL 60612-3276 2007-08-30
1225172125 Kathryn Carroll Psychologist 200 Tyre Ave, Newark, DE 19711-7136 2007-02-16

Office Location

Street Address 17280 HIGHWAY 17
City LEXINGTON
State MS
Zip Code 39095-6614

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851548135 Nadean Randle Social Worker 17280 Highway 17, Lexington, MS 39095-6614 2008-08-19
1558872663 Sharon Mcmillin Nurse Practitioner 17280 Highway 17, Lexington, MS 39095-6614 2017-10-16
1639608813 Leondrea Deanna Collins Nurse Practitioner 17280 Highway 17, Lexington, MS 39095-6614 2017-06-09
1033643432 Melissa White Nurse Practitioner 17280 Highway 17, Lexington, MS 39095-6614 2017-04-12
1508312992 Mallory Community Health Clinic/Center 17280 Highway 17, Lexington, MS 39095-6614 2016-08-26
1437490109 Mallory Community Health Center Clinic/Center 17280 Highway 17, Lexington, MS 39095-6614 2013-03-06
1952630089 Clyde Rozell Chapman II Pediatrics 17280 Highway 17, Lexington, MS 39095-6614 2009-12-20
1396987376 Kyskie Bolton Dietitian, Registered 17280 Highway 17, Lexington, MS 39095-6614 2009-04-06
1710127782 Lindsay Taylor Dietitian, Registered 17280 Highway 17, Lexington, MS 39095-6614 2009-03-03
1831341734 Angelee B Mayo Dietitian, Registered 17280 Highway 17, Lexington, MS 39095-6614 2008-10-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295282358 Mallory Community Health Clinic/Center 9749 Brozville Road, Lexington, MS 39095 2016-09-07
1336596170 Telehealthone, LLC Nurse Practitioner 301 Yazoo Street, Lexington, MS 39095 2016-05-23
1740624881 Mallory Community Health Clinic/Center 300 Yazoo Street, Lexington, MS 39095 2013-04-19
1912245671 Ciera N Draine Social Worker Dr Arenia C Mallory Community Health Center, 17280 Highway 17 S, Lexington, MS 39095 2013-01-30
1184933384 John D. Whitehead Durable Medical Equipment & Medical Supplies 22743 Hwy 12, Lexington, MS 39095 2010-10-05
1942536552 Durant Primary Care Clinic Clinic/Center 22741 Bowling Green Rd, Lexington, MS 39095 2009-11-02
1205082963 Heather Killebrew Tutor, Dmd, Pa Dentist 302 Court Square, Lexington, MS 39095 2008-08-13
1023145430 Charles D Howard Dentist 102 Wall St, Lexington, MS 39095 2007-02-27
1619069622 Charles Walton Campbell Family Medicine 102 Carrollton St, Lexington, MS 39095 2006-09-28
1972617876 Lexington Primary Care Clinic/Center 110 Tchula Street, Lexington Primary Care, Lexington, MS 39095 2006-08-18
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184225161 Christina Chan Sok Nurse Practitioner 24 Hartwell Ave # 204, Lexington, MA 02421-3132 2020-11-05
1871194381 Stacie Rose Nurse Practitioner 131 Hartwell Ave, Lexington, MA 02421-3105 2020-11-03
1952900870 Sarah Elizabeth Clark Nurse Practitioner 1309 Morning Side Ct, Lexington, KY 40509-2353 2020-10-21
1629677745 Lisa Elaine Coleman Nurse Practitioner 2241 Gulfstream Dr, Lexington, KY 40504-3273 2020-10-20
1578161303 Mariem Kader Nurse Practitioner 3622 White Pine Dr, Lexington, KY 40514-1740 2020-10-14
1023616125 Kimberly Dawn Calloway Nurse Practitioner 5306 E Blocher Rd, Lexington, IN 47138-8803 2020-10-12
1649878992 Margaret Bunch Nurse Practitioner 171 W Lowry Ln Ste 132, Lexington, KY 40503-3006 2020-10-09
1831701572 Jillian Leigh Butcher Nurse Practitioner 2917 Mahala Ln, Lexington, KY 40509-8555 2020-08-22
1033721154 Heart Rescue Cpr LLC Nurse Practitioner 501 Darby Creek Rd Ste 18, Lexington, KY 40509-1606 2020-08-19
1619588241 Jordyn L Bush Nurse Practitioner 124 Clay Ave, Lexington, KY 40502-1702 2020-08-17
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Competitor

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City LEXINGTON
Zip Code 39095

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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