MRS. TRISTY LYNN CARROLL


Address: 300 2nd Ave Ne, Suite 215a, Jamestown, ND 58401-3373
Phone: 7012526066

MRS. TRISTY LYNN CARROLL (NPI# 1588766059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588766059
Entity Type Individual
Full Name MRS. TRISTY LYNN CARROLL
Other Name TRISTY LYNN DEANS
Credential SLP
Practice Address 300 2nd Ave Ne
Suite 215a
Jamestown
ND 58401-3373
Mailing Address 300 2nd Ave Ne Ste 215a
Jamestown
ND 58401-3377
Practice Telephone 7012526066
Practice Fax Number 7012526074
Mailing Telephone 7012526066
Mailing Fax Number 7012526074
Enumeration Date 2006-09-03
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 683 ND Speech, Language and Hearing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
ND 54778 05
ND 54820 05

Office Location

Street Address 300 2ND AVE NE
SUITE 215A
City JAMESTOWN
State ND
Zip Code 58401-3373

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063457752 Paula M Marker Physical Therapist 300 2nd Ave Ne, Jamestown, ND 58401-3373 2006-06-18
1508489873 Andrea Christine Boerger Nurse Practitioner 300 2nd Ave Ne, Jamestown, ND 58401-3373 2020-05-21
1871079541 Deanna Joyce Weiser Nurse Practitioner 300 2nd Ave Ne, Jamestown, ND 58401 2018-07-16
1568968394 Rebecca Anne Kuss Nurse Practitioner 300 2nd Ave Ne, Jamestown, ND 58401-3373 2018-04-02
1245742337 Brady Wendell Anderson Physician Assistant 300 2nd Ave Ne, Jamestown, ND 58401 2017-10-29
1275984635 Carla Aberle Nurse Practitioner 300 2nd Ave Ne, Jamestown, ND 58401-3373 2016-06-28
1932557360 Tina Bear Registered Nurse 300 2nd Ave Ne, Jamestown, ND 58401-3373 2016-05-26
1316316821 Joleen Sprenger Counselor 300 2nd Ave Ne, #221, Jamestown, ND 58401-3373 2015-09-15
1679956635 Teresa Rittenbach Nurse Practitioner 300 2nd Ave Ne, Jamestown, ND 58401-3373 2015-07-08
1669855151 Taryn Nicole Boom Nurse Practitioner 300 2nd Ave Ne, Jamestown, ND 58401 2015-07-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1831607910 Creative Journey, LLC Clinic/Center 429 2nd St Sw Ste 205, Jamestown, ND 58401 2018-01-11
1619399334 Stutsman County Social Services Case Manager/Care Coordinator 116 1st Street East, Jamestown, ND 58401 2014-01-15
1073945176 Sarah Walker Pharmacist 410 10th Street Se, Suite 8, Jamestown, ND 58401 2013-07-31
1811339369 Yvette D Patrick Occupational Therapist 207 2nd Avenue Se, Jamestown, ND 58401 2013-07-25
1144582933 Anne Carlsen Center Intermediate Care Facility, Mentally Retarded 701 3rd Steeet Nw, Jamestown, ND 58401 2012-06-08
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992265805 Misty Dawn Smith Speech-Language Pathologist 342 W Central Avenue, Jamestown, TN 38556 2019-03-25
1801267836 Karen Reichley Speech-Language Pathologist 3995 Navajo Trl, Jamestown, OH 45335-1325 2015-10-16
1760852032 Tacuma Johnson Speech-Language Pathologist 5700 Riverdale Dr, Jamestown, NC 27282-9135 2015-09-30
1124403738 Margaret Depree Speech-Language Pathologist 408 Jackson St, Jamestown, PA 16134-9186 2015-07-24
1689009490 Lorry Gray Speech-Language Pathologist 1011 Old Lee Hwy 127, Jamestown, TN 38556 2013-09-11
1215362025 Sarah Clapp Speech-Language Pathologist 1011 Old Lee Hwy 127 S., Jamestown, TN 38556 2013-09-11
1770842528 Allison R Genco Speech-Language Pathologist 600 Hunt Road, W.e., Jamestown, NY 14701 2012-05-15
1902171978 Kathleen Ann Hall Speech-Language Pathologist 9 Westbury Ct, Jamestown, NY 14701-4318 2012-03-09
1952618431 Lisa Hansen-engdahl Speech-Language Pathologist 457 Fairmount Ave, Jamestown, NY 14701-2778 2010-09-07
1508178732 Melissa Patterson Sherrill Speech-Language Pathologist 4146 Queens Grant Rd, Jamestown, NC 27282-8732 2010-07-02
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City JAMESTOWN
Zip Code 58401

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Dataset Information

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.

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