ELIZABETH HENDRICKSON CARROLL (NPI# 1356636914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356636914 |
| Entity Type | Individual |
| Full Name | ELIZABETH HENDRICKSON CARROLL |
| Credential | RN, PMHNP |
| Practice Address |
1 Akron General Ave Akron OH 44307-2432 |
| Practice Telephone | 3303446525 |
| Practice Fax Number | 3309962943 |
| Mailing Telephone | 3303446525 |
| Mailing Fax Number | 3309962943 |
| Enumeration Date | 2011-06-12 |
| Last Update Date | 2017-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APRN.CNP.12592 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | PARTNERS PHYSICIAN GROUP MEDICARE GROUP # | 9338635 | 01 |
| OH | 0103086 | 05 | |
| OH | PARTNERS PHYSICIAN GROUP TYPE 2 NPI # | 1841239274 | 01 |
| OH | PARTNERS PHYSICIAN GROUP MEDICAID GROUP # | 2551671 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013494731 | Elizabeth Anne Carroll | Social Worker | Penn Brook School 68 Elm St, Georgetown, MA 01833 | 2018-07-25 |
| 1932699691 | Elizabeth Augusta Carroll | Specialist/Technologist | 604 Fairview Dr, Hartford, WI 53027-2314 | 2018-05-17 |
| 1669425880 | Elizabeth Carroll | Psychologist | 3779 Vest Mill Road-suite B, Winston-salem, NC 27103 | 2006-05-18 |
| 1497381610 | Elizabeth Carroll | Counselor | 401 Market St, Steubenville, OH 43952-2881 | 2020-03-19 |
| 1093208571 | Elizabeth Carroll | Physician Assistant | 243 Charles St, Boston, MA 02114 | 2018-06-11 |
| 1982137618 | Elizabeth Eleanor Carroll | Student in an Organized Health Care Education/Training Program | 550 1st Ave, New York, NY 10016-6402 | 2017-04-10 |
| 1760852875 | Elizabeth Emily Carroll | Occupational Therapist | 200 Jhf Dr, Pittsburgh, PA 15217-2950 | 2015-10-01 |
| 1801226105 | Elizabeth Carroll | Counselor | 79-1020 Haukapila St, Kealakekua, HI 96750-7922 | 2013-11-22 |
| 1215297403 | Elizabeth Alexandra Carroll | Internal Medicine | 3410 Worth St Ste 820, Dallas, TX 75246-2003 | 2012-05-21 |
| 1497031496 | Elizabeth Anne Carroll | Counselor | 3086 Cranberry Hwy, East Wareham, MA 02538-4801 | 2011-10-24 |
| Street Address |
1 AKRON GENERAL AVE |
| City | AKRON |
| State | OH |
| Zip Code | 44307-2432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013912336 | Daniel W Satariano | Anesthesiology | 1 Akron General Ave, Akron, OH 44307-2432 | 2005-06-14 |
| 1881201044 | Todd Jay Painter | Nurse Practitioner | 1 Akron General Ave, Akron, OH 44307-2432 | 2020-09-30 |
| 1760099030 | Erin Greenwell | Nurse Anesthetist, Certified Registered | 1 Akron General Ave, Akron, OH 44307-2432 | 2020-09-30 |
| 1952918393 | Lisa Marie Dunnie | Nurse Anesthetist, Certified Registered | 1 Akron General Ave, Akron, OH 44307-2432 | 2020-09-29 |
| 1194332569 | Gabrielle Lynn Cvengros | Physician Assistant | 1 Akron General Ave, Akron, OH 44307-2432 | 2020-09-29 |
| 1578170353 | Anjali Nidhaan | Internal Medicine | 1 Akron General Ave, Akron, OH 44307-2432 | 2020-09-25 |
| 1841806817 | Sean W Holvey | Nurse Anesthetist, Certified Registered | 1 Akron General Ave, Akron, OH 44307-2432 | 2020-09-16 |
| 1063025419 | Palak Rath | Student in an Organized Health Care Education/Training Program | 1 Akron General Ave, Akron, OH 44307-2432 | 2020-08-26 |
| 1902417991 | Olayinka Ibironke Adebolu | Internal Medicine | 1 Akron General Ave, Akron, OH 44307-2432 | 2020-08-12 |
| 1134730435 | Andrei Hastings | Student in an Organized Health Care Education/Training Program | 1 Akron General Ave, Akron, OH 44307-2432 | 2020-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588225205 | Tanya Charlene Marshall | Internal Medicine | 1 Akron Avenue, Akron, OH 44307 | 2019-06-24 |
| 1265099220 | Renee M Richardson | Home Health Aide | 817 Easter Ave, Akron, OH 44307 | 2019-05-24 |
| 1619462074 | Lydia Yatras | Nurse Practitioner | Canal Physician Group, 1 Akron General Ave, Akron, OH 44307 | 2018-06-28 |
| 1790293785 | Rachel D Johnson | Home Health Aide | 1068 Nathan St., Akron, OH 44307 | 2018-01-12 |
| 1720495039 | Quashema Anderson | Licensed Practical Nurse | 722 City View Ave, Akron, OH 44307 | 2014-07-18 |
| 1447662085 | Lamona King | Home Health Aide | 507 Warner Court St., Akron, OH 44307 | 2014-06-02 |
| 1255756268 | Carla R Stark | Speech-Language Pathologist | 405 Vernon Odom Blvd, Akron, OH 44307 | 2014-02-27 |
| 1780016493 | Deborah K Calderwood | Physician Assistant | 1 Akron General Ave. Building 301, Floor 2, Akron, OH 44307 | 2013-08-05 |
| 1659650091 | Chukwuma Soyinka Osifeso | Internal Medicine | One Akron General Avenue, Ste 1505, Akron, OH 44307 | 2011-08-16 |
| 1770724239 | Shirley Janette Slay | Nurse's Aide | 1199 Diaganol Rd, Akron, OH 44307 | 2009-03-13 |
| Find all providers in zip 44307 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710528948 | Tenelle Clark | Nurse Practitioner | 3269 Grey Village Dr, Akron, OH 44319-2570 | 2019-09-29 |
| 1912319070 | April Davis | Nurse Practitioner | 1073 Orlando Ave, Akron, OH 44320-2746 | 2014-05-23 |
| 1023127040 | Melissa Kay Zupancic | Nurse Practitioner | 864 Knightsbridge Dr, Akron, OH 44313 | 2006-08-30 |
| 1679180111 | Danielle Davis | Nurse Practitioner | 150 Cross St, Akron, OH 44311-1026 | 2020-09-29 |
| 1548872039 | Brooke N Phillips | Nurse Practitioner | 1 Perkins Sq, Akron, OH 44308-1063 | 2020-08-18 |
| 1487265005 | Olecia Anna Szedny-goodrich | Nurse Practitioner | 4125 Medina Rd, Akron, OH 44333-2483 | 2020-08-17 |
| 1356993935 | Rudolph Pekarovic IIi | Nurse Practitioner | 55 W Waterloo Rd, Akron, OH 44319-1116 | 2019-07-12 |
| 1225512213 | Sharon Goldan | Nurse Practitioner | 1 Akron General Ave, Akron, OH 44307-2432 | 2018-09-17 |
| 1205319357 | Amelia Baffa | Nurse Practitioner | 340 S Broadway St, Akron, OH 44308-1529 | 2018-09-13 |
| 1679086227 | Lynnette Enterline | Nurse Practitioner | 1 Perkins Sq, Akron, OH 44308-1063 | 2017-11-06 |
| Find all providers in AKRON | ||||
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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.