MICHELLE CARROLL (NPI# 1669841862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669841862 |
| Entity Type | Individual |
| Full Name | MICHELLE CARROLL |
| Other Name | MICHELLE CARROLL GILLESPIE |
| Credential | AGACNP-BC |
| Practice Address |
1515 Holcombe Blvd Houston TX 77030 |
| Mailing Address |
Po Box 4439 Houston TX 77210-4439 |
| Practice Telephone | 7137926161 |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2019-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP128991 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP128991 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 8212NT | 01 |
| TX | 355240801 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1515 Holcombe Blvd, Unit 1414, Houston, TX 77030 | 7137457347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982225181 | Michelle Mary Carroll | Counselor | 7 Dover Village Plaza, Suite 2, Dover Plains, NY 12522 | 2020-04-29 |
| 1437514635 | Michelle Carroll | Massage Therapist | 113 1st St, Nashwauk, MN 55769-1103 | 2015-12-15 |
| 1649883950 | Michelle Lee Carroll | Respiratory Therapist, Registered | 1901 Veterans Memorial Dr, Temple, TX 76504-7451 | 2020-08-26 |
| 1972847648 | Michelle Vanessa Carroll | Occupational Therapist | 170 N Pointe Blvd, Lancaster, PA 17601-4132 | 2012-11-20 |
| 1376794990 | Michelle Carroll | Occupational Therapist | 100 Abbeyville Rd, Lancaster, PA 17603-4604 | 2008-10-01 |
| 1922297241 | Michelle Marie Carroll | Occupational Therapist | 67 Pine Point Rd, Scarborough, ME 04074-8813 | 2007-10-23 |
| 1194880666 | Michelle Carroll | Social Worker | Kimbrough Ambulatory Care Center, 2480 Llewellyn Ave., Ft Meade, MD 20755 | 2006-12-26 |
| Street Address |
1515 HOLCOMBE BLVD |
| City | HOUSTON |
| State | TX |
| Zip Code | 77030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932102126 | Najat Daw Bitar | Pediatrics | 1515 Holcombe Blvd, Houston, TX 77030-4009 | 2005-05-23 |
| 1447851852 | Jamie Dockery | Registered Nurse | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2020-11-03 |
| 1912507138 | Evelin Lidiet Umanzor | Nurse Practitioner | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2020-10-27 |
| 1285232447 | Federico A Oppliger Boettcher | Student in an Organized Health Care Education/Training Program | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2020-10-10 |
| 1043817026 | Lovette Noble Alegado | Nurse Practitioner | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2020-10-03 |
| 1578179297 | Reem Karami | Student in an Organized Health Care Education/Training Program | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2020-09-17 |
| 1093328973 | Shaun Brian Tindall II | Nurse Anesthetist, Certified Registered | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2020-08-28 |
| 1649882879 | Luana Guimaraes De Sousa | Student in an Organized Health Care Education/Training Program | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2020-08-19 |
| 1225648934 | Karizza J Cruz | Registered Nurse | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2020-08-06 |
| 1023628377 | Damaris Masila | Registered Nurse | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2020-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770852 | Mchaji Celestaine | Pharmacist | Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 | 2020-11-04 |
| 1730702598 | Christopher A Mcmillian | Student in an Organized Health Care Education/Training Program | Houston Methodist Department of Surgery, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030 | 2020-05-27 |
| 1245852698 | Mostafa Hotait | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street 9a, Houston, TX 77030 | 2020-05-08 |
| 1790307288 | Ayushi Jayesh Shah | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 | 2020-05-07 |
| 1932720836 | Vera Whole Health Wa, PC | Clinic/Center | 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 | 2020-05-01 |
| 1548881808 | Mobitz Heart and Rhythm Center Pllc | Internal Medicine | Scurlock Tower, 6560 Fannin St., Houston, TX 77030 | 2020-04-28 |
| 1710516513 | Thomas Chi Han Lu | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 3.151, Houston, TX 77030 | 2020-04-03 |
| 1063041085 | Kevin Tang | Student in an Organized Health Care Education/Training Program | 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 | 2020-04-02 |
| 1831728898 | Taylor Renbarger | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Suite Jjl 431, Houston, TX 77030 | 2020-04-02 |
| 1972131423 | Sindhu R Rao | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 | 2020-03-31 |
| Find all providers in zip 77030 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696246 | Ev Collaborative House Calls LLC | Nurse Practitioner | 16325 Westheimer Rd, Houston, TX 77082-1233 | 2020-10-16 |
| 1386257137 | Joshua John Ramos | Nurse Practitioner | 6565 Fannin St Ste Alkek754, Houston, TX 77030-2703 | 2020-08-30 |
| 1902419880 | Andrea Randazzo Kummer | Nurse Practitioner | 3351 Clear Lake City Blvd, Houston, TX 77059-2506 | 2020-08-28 |
| 1225647985 | Madison Dale Larose | Nurse Practitioner | 2047 Westcreek Ln Unit 409, Houston, TX 77027-3748 | 2020-07-29 |
| 1609499516 | Glow Maven | Nurse Practitioner | 4544 Post Oak Place Dr Ste 254, Houston, TX 77027-3104 | 2020-05-26 |
| 1457971889 | Threase Y Mitchell | Nurse Practitioner | 6806 Oakmantle Dr, Houston, TX 77085-1336 | 2020-04-27 |
| 1023646718 | Tracy Ann Strown | Nurse Practitioner | 11626 Tc Jester Rd, Suite 500, Houston, TX 77067 | 2020-03-30 |
| 1649804550 | Jessica Schneider Vanover | Nurse Practitioner | 4950 Fm 1960 Rd W Ste A6, Houston, TX 77069-4517 | 2020-02-29 |
| 1124658679 | Neumed, LLC | Nurse Practitioner | 2401 N Shepherd Dr, Houston, TX 77008-1957 | 2020-01-23 |
| 1306481049 | Grace Usoro | Nurse Practitioner | 3434 Cline St, Houston, TX 77020-6126 | 2019-11-15 |
| Find all providers in HOUSTON | ||||
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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.