MRS. ELLA LUCILLE CARROLL (NPI# 1255569505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255569505 |
Entity Type | Individual |
Full Name | MRS. ELLA LUCILLE CARROLL |
Credential | HEARING AID DISPENSE |
Practice Address |
4425 Jefferson Ave Suite 101 Texarkana AR 71854 |
Practice Telephone | 8707736270 |
Practice Fax Number | 8707736270 |
Mailing Telephone | 8707736270 |
Mailing Fax Number | 8707736270 |
Enumeration Date | 2009-06-25 |
Last Update Date | 2009-06-25 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332S00000X | Hearing Aid Equipment | Suppliers |
Street Address |
4425 JEFFERSON AVE SUITE 101 |
City | TEXARKANA |
State | AR |
Zip Code | 71854 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679686414 | Nathan Edward Pearlman | Counselor | 4425 Jefferson Ave, Suite 106, Texarkana, AR 71854-1535 | 2006-08-16 |
1174753644 | J & L Hearing Center | Hearing Aid Equipment | 4425 Jefferson Ave, Suite 101, Texarkana, AR 71854-1535 | 2009-07-19 |
1427283548 | Chelsey Gillion | Counselor | 4425 Jefferson Ave, Texarkana, AR 71854 | 2009-05-19 |
1700011822 | Christopher Shupe | Counselor | 4425 Jefferson Ave, Texarkana, AR 71854 | 2009-05-19 |
1164657284 | Jerita Barron | Counselor | 4425 Jefferson Ave, Texarkana, AR 71854 | 2009-05-19 |
1477714657 | Theresa Renne Fields | Case Manager/Care Coordinator | 4425 Jefferson Ave, Suite 106, Texarkana, AR 71854-1535 | 2008-06-20 |
1891971875 | Jimmy Leon Phillips Jr. | Case Manager/Care Coordinator | 4425 Jefferson Ave, Suite 106, Texarkana, AR 71854-1535 | 2008-01-21 |
1811182116 | Valleria Needham | Counselor | 4425 Jefferson Ave, Suite 106, Texarkana, AR 71854-1535 | 2007-09-10 |
1891988754 | Shauna Noel Ferland | Registered Nurse | 4425 Jefferson Ave, Suite 106, Texarkana, AR 71854-1535 | 2007-08-23 |
1205026531 | Kelley Rene Moore | Case Manager/Care Coordinator | 4425 Jefferson Ave, Suite 106, Texarkana, AR 71854-1535 | 2007-08-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962988253 | Holly Renee Snipe | Registered Nurse | 4700 Sunbury Dr, Texarkana, AR 71854 | 2018-07-19 |
1023500634 | Carlotta A Powell | Counselor | 7000 N Stateline Ave, Texarkana, AR 71854 | 2018-05-31 |
1326538810 | Chad Roldan | Occupational Therapy Assistant | 6402 Countryside Dr, Texarkana, AR 71854 | 2018-05-10 |
1649797481 | Alliance Counseling Agency LLC | Community/Behavioral Health | 819 Beech St, Texarkana, AR 71854 | 2017-08-23 |
1366971467 | Kimberly Dian Cox | Case Manager/Care Coordinator | 7000 North Stateline Ave, Texarkana, AR 71854 | 2017-06-12 |
1295260040 | Seniors for Senior Care | Adult Companion | 4613 Parkway Dr., Texarkana, AR 71854 | 2017-04-28 |
1033650635 | Texarkana Eye Associates | Optometrist | 114 East 49th St, Texarkana, AR 71854 | 2017-03-15 |
1881064731 | Texarkana Group, P.l.l.c | Chiropractor | 2100 N. State Line Ave., Texarkana, AR 71854 | 2015-10-05 |
1528301819 | Megan Guercio | Specialist/Technologist | 1002 East 35th Street, Texarkana, AR 71854 | 2013-04-04 |
1831439116 | James Wesley Mcraven | Nurse Practitioner | 210 N. Stateline, Suite 301, Texarkana, AR 71854 | 2013-02-22 |
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Taxonomy Code | 332S00000X |
Grouping | Suppliers |
Classification | Hearing Aid Equipment |
The manufacture and/or sale of electronic hearing aids, their component parts, and related products and services on a national basis. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093131534 | Michael B. Gilliam | Hearing Aid Equipment | 3101 Kennedy Ln, Suite 300, Texarkana, TX 75503-2457 | 2014-03-07 |
1174753644 | J & L Hearing Center | Hearing Aid Equipment | 4425 Jefferson Ave, Suite 101, Texarkana, AR 71854-1535 | 2009-07-19 |
1790979599 | The Ent Group | Hearing Aid Equipment | 4214 Texas Blvd, Texarkana, TX 75503-3013 | 2007-09-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609252519 | Payne Free Living, LLC | Hearing Aid Equipment | 4585 N Highway 7 Ste 12, Hot Springs Village, AR 71909-8202 | 2015-08-03 |
1003156886 | Infinity Hearing Center Inc. | Hearing Aid Equipment | 3115 E Kiehl Ave, Suite B, Sherwood, AR 72120 | 2013-02-15 |
1982909867 | D@s Oyler Holdings Inc | Hearing Aid Equipment | 8 Halsted Cir Ste 2, Rogers, AR 72756-3144 | 2011-01-24 |
1619206273 | Robken Hearing Aid Services LLC | Hearing Aid Equipment | 3955 Central Ave, Suite 2, Hot Springs, AR 71913-7210 | 2009-12-10 |
1508016718 | Jonesboro Hearing Aid Serv. | Hearing Aid Equipment | 1825 E. Nettleton, Ste E, Jonesboro, AR 72401 | 2008-09-24 |
1942481155 | J.b. Solomon, Inc. | Hearing Aid Equipment | 1100 Lexington Ave, Fort Smith, AR 72901-5136 | 2007-11-15 |
1386134302 | Northland Hearing Center Inc | Hearing Aid Equipment | 820 E Matthews Ave, Jonesboro, AR 72401-3048 | 2018-05-15 |
1114453743 | Palmer Audiology, Pllc | Hearing Aid Equipment | 200 N Quanah Ave, Russellville, AR 72801-2762 | 2017-05-02 |
1164878922 | Nwa Hearing LLC | Hearing Aid Equipment | 11 Halsted Cir, Siute C, Rogers, AR 72756-3185 | 2016-05-11 |
1023366234 | Magie Eye Clinic of Morrilton, Pa | Hearing Aid Equipment | 810 E Harding St, Morrilton, AR 72110-2250 | 2012-08-17 |
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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.