LISA CARROLL (NPI# 1194721548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194721548 |
| Entity Type | Individual |
| Full Name | LISA CARROLL |
| Credential | NP |
| Practice Address |
992 Union St Bangor ME 04401-3057 |
| Mailing Address |
Po Box 1599 Bangor ME 04402-1599 |
| Practice Telephone | 2079455247 |
| Mailing Telephone | 2079455247 |
| Mailing Fax Number | 2079929200 |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2014-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | CNP81527 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | AP081527 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | R023823 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 402910099 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336662998 | Lisa Carroll | Physical Therapist | 7601 Imperial Hwy # 2149, Downey, CA 90242-3456 | 2017-07-25 |
| 1174989909 | Lisa Carroll | Early Intervention Provider Agency | 17 W 11th Rd, Broad Channel, NY 11693-1115 | 2016-01-09 |
| 1649381344 | Lisa Bertina Carroll | Dermatology | 2051 Hamill Road, Ste 301 A, Hixson, TN 37343 | 2006-08-31 |
| 1356332027 | Lisa A Carroll | Dermatology | 25 Lenfant Ct, Glen Mills, PA 19342-1668 | 2005-11-02 |
| 1417456955 | Lisa Carroll | Dietitian, Registered | 525 S Washington St, Naperville, IL 60540-6749 | 2018-02-11 |
| 1316390586 | Lisa Marie Carroll | Social Worker | 17100 Euclid St, Fountain Valley Regional Hospital, Attn Social Services, Fountain Valley, CA 92708-4004 | 2016-07-22 |
| 1083083182 | Lisa Carroll | Counselor | 141 N Meramec Ave, Suite 109, Clayton, MO 63105-3750 | 2015-09-18 |
| 1992174007 | Lisa Elizabeth Carroll | Physician Assistant | 914 S Scheuber Rd, Centralia, WA 98531-9027 | 2015-09-18 |
| 1386087112 | Lisa M Carroll | Obstetrics & Gynecology | 119 Hendersonville Rd, Asheville, NC 28803-2868 | 2013-04-11 |
| 1245504943 | Lisa D Carroll | Social Worker | 4647 Zion Ave, San Diego, CA 92120-2507 | 2012-02-28 |
| Street Address |
992 UNION ST |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-3057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932763331 | Ethan Scott Caron | Physician Assistant | 992 Union St, Bangor, ME 04401-3057 | 2019-05-01 |
| 1467922070 | Kacie Guerrette | Pharmacist | 992 Union St, Bangor, ME 04401-3057 | 2018-11-27 |
| 1912488412 | Jennifer Marie Cormier | Pharmacist | 992 Union St, Bangor, ME 04401-3057 | 2018-08-23 |
| 1205312659 | Andrew Dinh Tran | Pharmacist | 992 Union St, Bangor, ME 04401-3057 | 2018-07-18 |
| 1336630409 | Alexandra P. Marshall | Audiologist | 992 Union St, Bangor, ME 04401 | 2018-05-24 |
| 1124542386 | Nicole Maher | Physician Assistant | 992 Union St, Bangor, ME 04401-3057 | 2017-07-31 |
| 1477080455 | Thomas M Beebe | Audiologist | 992 Union St, Bangor, ME 04401-3057 | 2017-05-22 |
| 1710345699 | M Morag Robertson | Nurse Practitioner | 992 Union St, Bangor, ME 04401-3057 | 2016-02-05 |
| 1740672831 | Erin Barker | Registered Nurse | 992 Union St, Community Care & Geriatrics, Bangor, ME 04401-3057 | 2015-02-26 |
| 1811387103 | Amelia Hersey | Physician Assistant | 992 Union St, Bangor, ME 04401-3057 | 2015-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (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. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619590247 | Meghan Chenausky | Nurse Practitioner | Pchcenter, 1012 Union Street, Bangor, ME 04401-3060 | 2020-05-18 |
| 1649603093 | Kendra Lynn Look | Nurse Practitioner | 302 Husson Ave Ste 1, Bangor, ME 04401-3373 | 2013-08-20 |
| 1285988253 | Sabita Sigdel | Nurse Practitioner | 895 Union Street - Suite 12, Center for Family Medicine, Bangor, ME 04401 | 2012-10-30 |
| 1467515056 | Lisa Madge Grindle | Nurse Practitioner | 175 Union St., Suite C, Bangor, ME 04401 | 2006-12-18 |
| 1871698142 | Beryl Rubin | Nurse Practitioner | 1048 Union St., Ste 5, Bangor, ME 04401-0000 | 2006-09-13 |
| 1376569962 | Maureen M Jarrett | Nurse Practitioner | 36 Penn Plaza, Bangor, ME 04401-3620 | 2006-07-15 |
| 1235180209 | Chrystal A Adams | Nurse Practitioner | 34 Summer Street, Bangor, ME 04401 | 2006-05-15 |
| 1538129804 | Sandra Jean Wardwell | Nurse Practitioner | 12 Stillwater Ave, Bangor, ME 04401-3984 | 2006-03-23 |
| 1861451478 | Joye M Jewell-hill | Nurse Practitioner | 268 Stillwater Ave, Bangor, ME 04401 | 2006-03-22 |
| 1386254886 | Timothy Craig Prince | Nurse Practitioner | 86 Davis Rd, Bangor, ME 04401-2311 | 2020-08-09 |
| Find all providers in BANGOR | ||||
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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.