BRETT LAVAR CARROLL (NPI# 1417405044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417405044 |
| Entity Type | Individual |
| Full Name | BRETT LAVAR CARROLL |
| Credential | A.P.R.N. |
| Practice Address |
8 Th Ave & C Street E8 Salt Lake City UT 84143-0001 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 8014083729 |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2017-12-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
292953-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962929067 | Brett Timothy Carroll | Physical Therapy Assistant | 3310 Fall Hill Ave, Fredericksburg, VA 22401-3000 | 2017-08-29 |
| 1740634112 | Brett Ann Carroll | Internal Medicine | 1 Hospital Plz, Stamford, CT 06902-3602 | 2016-04-21 |
| 1831472364 | Brett William Carroll | Pharmacist | 180 W Main St, Uniontown, PA 15401-5537 | 2011-09-21 |
| 1669768123 | Brett Joseph Carroll | Internal Medicine | 330 Brookline Ave, Boston, MA 02215-5400 | 2011-06-23 |
| Street Address |
8 TH AVE & C STREET E8 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84143-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053725572 | Robert Thomas Nuttall | Respiratory Therapist, Registered | 8th Ave. and C Street, Salt Lake City, UT 84143 | 2014-06-12 |
| 1346447331 | Intermountain Healthcare | General Acute Care Hospital | 8th Avenue and 'c' Street, Salt Lake City, UT 84143 | 2007-07-02 |
| 1629142898 | Robert L Mazzola | Internal Medicine | 8th & C Street, Intermountain Sleep Disorders Center - Lds Hospital, Salt Lake City, UT 84143 | 2006-11-20 |
| 1053407726 | Tom V Cloward | Internal Medicine | 400 D Street Ste 206, Salt Lake City, UT 84143 | 2006-10-04 |
| 1396838926 | Sharon Briggs Schneider | Pharmacist | 8th Ave and C Street, Salt Lake City, UT 84143 | 2006-10-02 |
| 1700818911 | Rebecca Bailey | Psychologist | 4n, 8th Ave C Street, Salt Lake City, UT 84143 | 2006-07-07 |
| 1851348924 | Gayle White | Nurse Practitioner | 8th Ave C Street, Lds Hospital Wound Care Service, Salt Lake City, UT 84143 | 2006-05-27 |
| 1669459301 | Steven Eugene Nickman | Physician Assistant | 8th Avenue & C Street, Lds Hospital E8/ibmt Program, Salt Lake City, UT 84143 | 2005-12-23 |
| 1912454448 | Todd J Seamons | Pharmacist | 8th Ave & C St, Outpatient Pharmacy, Salt Lake City, UT 84143 | 2016-09-01 |
| 1235568130 | Intermountain Healthcare | General Acute Care Hospital | 8th Avenue and C St, Lds Hospital, Salt Lake City, UT 84143 | 2013-11-01 |
| Find all providers in zip 84143 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194353268 | Kassandra Olson | Nurse Practitioner | 3151 E 3900 S, Salt Lake City, UT 84124-2143 | 2020-04-01 |
| 1609426659 | Loriann Stromness | Nurse Practitioner | 5121 S Cottonwood St Ste 700, Salt Lake City, UT 84107-5701 | 2019-09-11 |
| 1447802418 | Amanda Nichole Eckersley | Nurse Practitioner | 8th Avenue C Street, Salt Lake City, UT 84143-0001 | 2019-07-10 |
| 1750858643 | Kristen Elena Gooch | Nurse Practitioner | 36 S State St Ste 2100, Salt Lake City, UT 84111-1472 | 2018-10-29 |
| 1659853992 | Jessica Singer | Nurse Practitioner | 762 E Browning Ave, Salt Lake City, UT 84105-2209 | 2018-09-04 |
| 1184147175 | Suzanne Milne | Nurse Practitioner | Lds Hospital 8th Avenue and C St Fl 8, Salt Lake City, UT 84143-0001 | 2017-07-20 |
| 1366964728 | Matthew Wayne Jarvis | Nurse Practitioner | 1250 E 3900 S Ste 30, Salt Lake City, UT 84124-1354 | 2017-07-07 |
| 1841749256 | Ashle Mayme Crane | Nurse Practitioner | 4435 S Loren Von Dr, Salt Lake City, UT 84124-3839 | 2016-09-26 |
| 1487042537 | Adult Care Clinic Inc | Nurse Practitioner | 3920 S 1100 E Ste 250, Salt Lake City, UT 84124-1213 | 2014-12-23 |
| 1962806786 | Curtis Clark | Nurse Practitioner | 175 North Medical Drive, Salt Lake City, UT 84132 | 2014-10-22 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84143 |
Please comment or provide details below to improve the information on BRETT LAVAR CARROLL.
| 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.