CHRISTINE ELIZABETH CARROLL (NPI# 1700419991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700419991 |
| Entity Type | Individual |
| Full Name | CHRISTINE ELIZABETH CARROLL |
| Credential | AGACNP |
| Practice Address |
1 Bartol Ave Ridley Park PA 19078-2214 |
| Mailing Address |
207 N Broad St Fl 3 Philadelphia PA 19107-1500 |
| Practice Telephone | 6105210150 |
| Mailing Telephone | 2152223627 |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2020-02-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
SP021552 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710586599 | Christine Marinda Carroll | Counselor | 4697 Kings Corners Rd, Romulus, NY 14541-9771 | 2020-10-22 |
| 1730459884 | Christine Carroll | Dietitian, Registered | 391 Franklin St, Mansfield, MA 02048-1683 | 2012-01-06 |
| 1235337775 | Christine V Carroll | Licensed Vocational Nurse | 1345 W Sacramento Ave, Chico, CA 95926-9655 | 2007-07-05 |
| 1366655391 | Christine F Carroll | Speech-Language Pathologist | 144 Fm 1252 West, Kilgore, TX 75662-2818 | 2007-05-07 |
| 1396390159 | Christine Gail Carroll | Social Worker | 300 Fleet St, Pittsburgh, PA 15220-2921 | 2019-08-07 |
| 1619522109 | Christine Lynn Carroll | Counselor | 550 W Washington Ave, Escondido, CA 92025-1643 | 2019-08-02 |
| 1922415744 | Christine Hunt Carroll | Specialist/Technologist | 5505 Peachtree Dunwoody Rd Ste 600, Atlanta, GA 30342-1717 | 2014-07-14 |
| 1891004594 | Christine A. Carroll | Physician Assistant | 10101 Ridgegate Pkwy, Lone Tree, CO 80124-5522 | 2010-09-28 |
| 1356581458 | Christine L Carroll | Occupational Therapy Assistant | 7235 Whipple Ave Nw, North Canton, OH 44720-7137 | 2009-03-02 |
| 1245423326 | Christine Carroll | Emergency Medicine | 36000 Darnall Loop, Attn: Mcxi-dem, Fort Hood, TX 76544 | 2007-08-22 |
| Street Address |
1 BARTOL AVE |
| City | RIDLEY PARK |
| State | PA |
| Zip Code | 19078-2214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023010444 | Howard T Gitter | Internal Medicine | 1 Bartol Ave, Suite 10, Ridley Park, PA 19078 | 2005-08-15 |
| 1740637255 | Prospect Health Access Network, Inc. | Internal Medicine | 1 Bartol Ave, Suite 10, Ridley Park, PA 19078-2214 | 2016-05-16 |
| 1588064869 | Caitlin C Moore | Physician Assistant | 1 Bartol Ave, Suite 100, Ridley Park, PA 19078-2214 | 2014-08-24 |
| 1346588258 | Kaitlin Elizabeth Ciotoli | Nurse Practitioner | 1 Bartol Ave, Suite 15, Ridley Park, PA 19078-2214 | 2013-01-28 |
| 1366786055 | Health Access Network | Internal Medicine | 1 Bartol Ave, Suite 10, Ridley Park, PA 19078-2214 | 2012-11-19 |
| 1225395817 | Ifeoma Nwabuzor | Obstetrics & Gynecology | 1 Bartol Ave, Suite 15, Ridley Park, PA 19078-2214 | 2012-04-19 |
| 1346512688 | Lacey M. O'hara | Physician Assistant | 1 Bartol Ave, Suite 10, Ridley Park, PA 19078-2214 | 2012-02-02 |
| 1104110535 | Lewis W Lo | Obstetrics & Gynecology | 1 Bartol Ave, Suite 15, Ridley Park, PA 19078-2214 | 2011-06-02 |
| 1184944167 | Premier Orthopaedic and Sports Medicine Associates, Ltd | Internal Medicine | 1 Bartol Ave, Ste 100, Ridley Park, PA 19078-2214 | 2010-06-02 |
| 1154649234 | Michelle Christine Mergenthal | Obstetrics & Gynecology | 1 Bartol Ave, Suite 15, Ridley Park, PA 19078-2214 | 2010-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952762999 | Rita Ropski | Physical Therapy Assistant | 115 Rosemont Ave, Ridley Park, PA 19078 | 2016-03-18 |
| 1063871846 | Knopf Radiology and Health Services | Clinic/Center | 634 E,chester Pike, Apt F 1, Ridley Park, PA 19078 | 2016-02-22 |
| 1932574340 | Benjamin Chartier | Physician Assistant | 105 Henderson Ave, Ridley Park, PA 19078 | 2015-12-10 |
| 1992068811 | Angel Companions of Delaware County, LLC | Home Health | 113 East Sellers Ave, Suite B, Ridley Park, PA 19078 | 2012-06-18 |
| 1023276425 | Martin Joseph Dwyer Jr. | Dentist | 212 Chester Pike West, Ridley Park, PA 19078 | 2008-06-02 |
| 1881893543 | Rhonda Lee Lagamba | Occupational Therapy Assistant | 175 Chester Pike, Ridley Park, PA 19078 | 2007-07-13 |
| 1205977592 | Leedom Fire Company No 1 | Ambulance | Darby Rd and Clymer La, Ridley Park, PA 19078 | 2007-02-09 |
| 1881758506 | Collins Chiropractic P.C. | Chiropractor | 648 A East Chester Pike, Ridley Park, PA 19078 | 2006-12-20 |
| 1164518742 | John Samuel Rizzo | Ophthalmology | 8 Morton Avenue, Suite 101, Ridley Park, PA 19078 | 2006-10-04 |
| 1972511947 | John R Callahan Dds Assoc | Dentist | 101 E Ward Ave, Ridley Park, PA 19078 | 2006-08-04 |
| Find all providers in zip 19078 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496575 | Albert Abbo | Nurse Practitioner | 801 Spruce St Fl 3, Philadelphia, PA 19107-5701 | 2020-10-30 |
| 1902411721 | Sean Arthur Deiter | Nurse Practitioner | 3619 Gypsy Ln, Philadelphia, PA 19129-1612 | 2020-09-09 |
| 1972117687 | Christopher Brian Cox | Nurse Practitioner | 4527 Kingsessing Ave Fl 1, Philadelphia, PA 19143-3712 | 2020-09-01 |
| 1700499969 | Maliha Amjed | Nurse Practitioner | 261 Old York Rd Ste 724, Jenkintown, PA 19046-3725 | 2020-08-27 |
| 1821606989 | Tony George | Nurse Practitioner | 1228 Meinel Rd, Huntingdon Valley, PA 19006-8412 | 2020-07-15 |
| 1780292854 | Malroney Mclean | Nurse Practitioner | 5300 Birney Hwy, Aston, PA 19014-1597 | 2020-07-15 |
| 1093336174 | Abdul Rahman Sesay | Nurse Practitioner | 741 Sharon Ave, Collingdale, PA 19023-3531 | 2020-04-30 |
| 1053949081 | Anna Sorci | Nurse Practitioner | 5401 Old York Rd # Klein300, Philadelphia, PA 19141-3030 | 2020-03-27 |
| 1235777863 | Kari Flynn | Nurse Practitioner | 255 W Lancaster Ave Ste 124, Paoli, PA 19301-1764 | 2019-12-13 |
| 1972149839 | Andrea Rivera Rodriguez | Nurse Practitioner | 1250 S Cedar Crest Blvd # 250, Allentown, PA 18103-6224 | 2019-11-25 |
| Find all providers with the same taxonomy | ||||
| City | RIDLEY PARK |
| Zip Code | 19078 |
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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.