MRS. ANGELIQUE IRENE CARROLL (NPI# 1104273317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104273317 |
| Entity Type | Individual |
| Full Name | MRS. ANGELIQUE IRENE CARROLL |
| Other Name | MS. ANGELIQUE IRENE DAVIS |
| Practice Address |
19600 E 39th St S Independence MO 64057-2301 |
| Mailing Address |
8717 W 110th St Suite 600 Overland Park KS 66210-2144 |
| Practice Telephone | 9134282900 |
| Practice Fax Number | 9134282951 |
| Mailing Telephone | 9134282900 |
| Mailing Fax Number | 9134282951 |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2016-09-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 2016019530 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
19600 E 39TH ST S |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64057-2301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194717223 | Terry Eugene Lienhop | Emergency Medicine | 19600 E 39th St S, Independence, MO 64057-2301 | 2005-08-16 |
| 1710511357 | Kyle James Koerner | Chiropractor | 19600 E 39th St S, Independence, MO 64057-2301 | 2020-02-22 |
| 1306477096 | Kelsie Rhea Town | Nurse Practitioner | 19600 E 39th St S, Independence, MO 64057-2301 | 2020-01-31 |
| 1669002515 | Charleen Brianne Sims | Nurse Practitioner | 19600 E 39th St S, Independence, MO 64057-2301 | 2020-01-20 |
| 1033671243 | Sol Allan Enriquez | Hospitalist | 19600 E 39th St S, Independence, MO 64057-2301 | 2019-04-05 |
| 1275098972 | Alfonso J Martinez Md LLC | Internal Medicine | 19600 E 39th St S, Independence, MO 64057-2301 | 2019-02-06 |
| 1811481153 | Kimberly Harris | Nurse Practitioner | 19600 E 39th St S, Independence, MO 64057-2301 | 2018-06-20 |
| 1821522186 | Rachel Anne Mcdonald | Family Medicine | 19600 E 39th St S, Independence, MO 64057-2301 | 2017-04-13 |
| 1326572876 | Joseph Sayegh | Family Medicine | 19600 E 39th St S, Independence, MO 64057-2301 | 2017-04-11 |
| 1144752767 | Erin Waldron | Registered Nurse | 19600 E 39th St S, Independence, MO 64057-2301 | 2017-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174002364 | Justine Barye Bolton | Physical Therapist | 2301 South 291 Highway, Independence, MO 64057 | 2018-08-09 |
| 1194230136 | Brantley Vincent Niendick | Occupational Therapist | 2301 S M 291 Hwy, Independence, MO 64057 | 2017-12-13 |
| 1437693561 | Derek Faulkner | Counselor | 2400 Little Blue Pkwy, Independence, MO 64057 | 2016-12-08 |
| 1578916136 | Jared Donald Gerstenkorn | Physical Therapist | 2301 South Highway 291, Independence, MO 64057 | 2016-07-19 |
| 1295198182 | Jennifer J Allen | Nurse Practitioner | 2310 Castle Drive, Independence, MO 64057 | 2016-03-30 |
| 1750750808 | Lisa Louise Freeman | Physical Therapy Assistant | 3980 S Jackson Dr, Independence, MO 64057 | 2015-09-18 |
| 1437543592 | Harold Epps | Specialist/Technologist | 2301 South Mo 291 Highway, Independence, MO 64057 | 2015-03-26 |
| 1245620426 | Holly Morgan | Occupational Therapist | 3980 S Jackson Dr., Independence, MO 64057 | 2015-01-27 |
| 1093128159 | Jennifer Falk Crumbaugh | Dentist | 3151 S. M-291 Highway, Suite A, Independence Mo, MO 64057 | 2014-06-06 |
| 1952711954 | Judy Bray | Occupational Therapy Assistant | 3980 East Jackson Drive, Independence, MO 64057 | 2014-04-30 |
| Find all providers in zip 64057 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306248604 | Mary Sandra Lathrem | Nurse Anesthetist, Certified Registered | 1916 James Downey Rd, Independence, MO 64057-1054 | 2014-09-18 |
| 1700145570 | Tera Michelle Helding | Nurse Anesthetist, Certified Registered | 19600 E 39th Street South, Independence, MO 64057 | 2012-05-14 |
| 1578522082 | Bryan Andrew Woodworth | Nurse Anesthetist, Certified Registered | 19600 East 39th Street, Centerpoint Medical Center, Independence, MO 64057-2301 | 2006-03-22 |
| 1285612218 | Janice M Seever | Nurse Anesthetist, Certified Registered | 4801 Cliff Ave, Ste 101, Independence, MO 64055 | 2006-01-09 |
| 1528064631 | Tina Perebzak | Nurse Anesthetist, Certified Registered | 6000 West Creek Rd, Ste 10, Independence, OH 44131-2182 | 2005-06-23 |
| 1861812968 | Brandon Lee Seller | Nurse Anesthetist, Certified Registered | 19600 E 39th St S, Independence, MO 64057-2301 | 2014-04-16 |
| 1194062471 | Holly Christina Stubbs | Nurse Anesthetist, Certified Registered | 4741 S Cochise Dr, Independence, MO 64055-6974 | 2013-01-07 |
| 1033487608 | Alan Peter Jensen | Nurse Anesthetist, Certified Registered | 19600 E 39th St S, Independence, MO 64057-2301 | 2011-12-09 |
| 1609969583 | David S Johnson | Nurse Anesthetist, Certified Registered | 4801 Cliff Ave, Suite 101 Eye Surgery Center The Cliffs, Independence, MO 64055 | 2006-10-02 |
| 1417064957 | Mercy Kansas Communities Inc | Nurse Anesthetist, Certified Registered | 800 W Myrtle St, Independence, KS 67301-3240 | 2006-08-23 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 64057 |
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| 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.