MICHAEL JOSEPH CARROLL (NPI# 1396774725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396774725 |
| Entity Type | Individual |
| Full Name | MICHAEL JOSEPH CARROLL |
| Credential | M ED, LAT, ATC |
| Practice Address |
2650 W Overhill Dr Stephenville TX 76401-1972 |
| Mailing Address |
330 E Mcneil St Stephenville TX 76401-4333 |
| Practice Telephone | 2549684716 |
| Mailing Telephone | 2549657632 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT1173 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114485919 | Michael John Carroll | Dietitian, Registered | 276 Randolph Ave, East Rutherford, NJ 07073-1345 | 2019-03-11 |
| 1710481544 | Michael Carroll | Specialist/Technologist | 8170 Denver Rd, Waverly, OH 45690-9535 | 2018-03-19 |
| 1811443187 | Michael Carroll | Counselor | 308 Peterson Place, Fayetteville, NC 28301 | 2016-08-28 |
| 1083913982 | Michael Carroll | Pharmacist | 4936 Veterans Blvd., Metairie, LA 70003 | 2011-03-18 |
| 1366569261 | Michael Thomas Carroll | Physical Therapist | 8 Oak St, Port Jervis, NY 12771-1423 | 2007-03-23 |
| 1992715999 | Michael Kevin Carroll | Physical Therapy Assistant | 9401 Fountain Medical Ct, Bonita Springs, FL 34135-4612 | 2006-08-09 |
| 1487655932 | Michael Lindsey Carroll | Internal Medicine | 9208 Elam Rd, Ste 220, Dallas, TX 75217-4178 | 2005-08-09 |
| 1609876978 | Michael G Carroll | Internal Medicine | 1460 Bluegrass Ave, Louisville, KY 40215-1272 | 2005-07-28 |
| 1427051291 | Michael C Carroll | Podiatrist | 33 E County Line Rd, Suite B, Greenwood, IN 46143-1043 | 2005-05-24 |
| 1003474172 | Michael Patrick Carroll Jr. | Family Medicine | 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 | 2019-06-03 |
| Street Address |
2650 W OVERHILL DR |
| City | STEPHENVILLE |
| State | TX |
| Zip Code | 76401-1972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851677413 | Kendall Paige Goldberg | Specialist/Technologist | 2650 W Overhill Dr, Stephenville, TX 76401-1972 | 2011-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700421930 | Catherine Johns | Speech-Language Pathologist | 418 County Road 428, # 418, Stephenville, TX 76401 | 2019-11-12 |
| 1457828683 | Allison Ann Luedeker | Nurse Practitioner | 950 Bluebonnet Street, Stephenville, TX 76401 | 2018-10-25 |
| 1326528092 | Stephanie Renee Drake | Speech-Language Pathologist | 1739 Bull Elk Dr, Stephenville, TX 76401 | 2018-08-21 |
| 1528564804 | Dylan D Dawson | Specialist/Technologist | 1590 Washington St, Stephenville, TX 76401 | 2018-04-04 |
| 1730680117 | Alison Lea Reynolds | Licensed Vocational Nurse | 208 Prairie Wind, Stephenville, TX 76401 | 2018-02-22 |
| 1760855977 | Gina Neri | Physical Therapy Assistant | 1670 West Lingley Rd, Stephenville, TX 76401 | 2015-11-10 |
| 1104216886 | Edmund Case Horton | Rehabilitation Counselor | 2443-8 Nw Loop, Stephenville, TX 76401 | 2015-02-02 |
| 1043648215 | Cross Timbers Imaging | Radiology | 561 N. Graham St, Stephenville, TX 76401 | 2013-10-24 |
| 1306273362 | Kelley Camille Verpooten | Counselor | 239 S. Virginia Street, Stephenville, TX 76401 | 2013-10-04 |
| 1477735140 | Nanette V Evans M.d., P.a. | Radiology | 150 Rivernorth Blvd., Stephenville, TX 76401 | 2007-12-04 |
| Find all providers in zip 76401 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031702 | Kiana Angelique Leveston | Specialist/Technologist | 2820 W Frey St Apt 7209, Stephenville, TX 76401-1905 | 2020-10-24 |
| 1477116671 | Jaelan Nicole Burns | Specialist/Technologist | 585 W Pecan St Apt 1103, Stephenville, TX 76401-5512 | 2019-04-15 |
| 1205397056 | Andrianna Mercedes Forester | Specialist/Technologist | 1001 E Washington St Apt 16b, Stephenville, TX 76401-4531 | 2019-03-26 |
| 1679030647 | Whitney S Whitford | Specialist/Technologist | 627 County Road 423, Stephenville, TX 76401-8095 | 2019-02-26 |
| 1174089353 | Tiffany Nicole Green | Specialist/Technologist | 133 W Washington St, Stephenville, TX 76401-4254 | 2019-02-13 |
| 1437613635 | Hayden Brock Mcpherson | Specialist/Technologist | 1310 N Lillian St, Stephenville, TX 76401-2350 | 2019-01-22 |
| 1568936896 | Coy Tanner Barrick | Specialist/Technologist | 2820 W Frey St Apt 2310, Stephenville, TX 76401-1905 | 2019-01-21 |
| 1962976340 | Alayshia Mauricia-shavonna Hunter | Specialist/Technologist | 2825 W Frey St # 426, Stephenville, TX 76401-1919 | 2019-01-18 |
| 1770057887 | Madison Mcbride | Specialist/Technologist | 842 N Cain St, Stephenville, TX 76401-3083 | 2019-01-11 |
| 1528564804 | Dylan D Dawson | Specialist/Technologist | 1590 Washington St, Stephenville, TX 76401 | 2018-04-04 |
| Find all providers in STEPHENVILLE | ||||
| City | STEPHENVILLE |
| Zip Code | 76401 |
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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.