KATELYN NICHELLE CARROLL (NPI# 1750851853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750851853 |
| Entity Type | Individual |
| Full Name | KATELYN NICHELLE CARROLL |
| Other Name | KATELYN NICHELLE SWAGER |
| Credential | FNP-BC |
| Practice Address |
485 Colliers Way Ste K Weirton WV 26062-5012 |
| Practice Telephone | 3047234041 |
| Mailing Telephone | 3043742322 |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2018-11-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 92144 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619425816 | Katelyn Carroll | Behavioral Analyst | 218 S 38th St, Tacoma, WA 98418-7807 | 2016-09-15 |
| Street Address |
485 COLLIERS WAY STE K |
| City | WEIRTON |
| State | WV |
| Zip Code | 26062-5012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396357935 | Hancock County School District | Speech-Language Pathologist | 3248 Pennsylvania Avenue, Weirton, WV 26062 | 2020-08-17 |
| 1982105441 | Maria Baldwin | Nurse Practitioner | 131 American Way, Weirten, WV 26062 | 2018-02-21 |
| 1194236604 | Rachel Lahita | Occupational Therapy Assistant | 3205 Rear Orchard St, Weirton, WV 26062 | 2017-10-24 |
| 1912424623 | Soleo Health Inc | Pharmacy | 204 Three Springs Dr Ste B, Weirton, WV 26062 | 2017-08-23 |
| 1255853313 | Kelli Elise Brooks | Dentist | 389 American Way, Weirton, WV 26062 | 2017-07-11 |
| 1750745030 | Jessica Bee | Pharmacist | 3901 Brightway, Weirton, WV 26062 | 2016-04-12 |
| 1396155487 | Jay Wyn LLC | Assisted Living Facility | 608 North 10th Street, Weirton, WV 26062 | 2014-04-29 |
| 1689084790 | Jay Wyn L.l.c | Assisted Living Facility | 610 North 10th Street, Weirton, WV 26062 | 2014-04-29 |
| 1750706503 | Patrick T Long Jr. | Massage Therapist | 3709 Collins Way, Weirton, WV 26062 | 2014-03-03 |
| 1689928921 | Austin Gregory White | Optometrist | 400 Three Springs Drive, Weirton, WV 26062 | 2012-11-08 |
| Find all providers in zip 26062 | ||||
| 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 |
|---|---|---|---|---|
| 1578192290 | Braidy Nicole Tandon | Nurse Practitioner | 651 Colliers Way Ste 201, Weirton, WV 26062-5055 | 2020-04-04 |
| 1144613340 | Morgan Mahan | Nurse Practitioner | 601 Colliers Way, Weirton, WV 26062-5014 | 2015-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029443 | Cierra L Gladden | Nurse Practitioner | 312 Club House Dr, Evans, WV 25241-8055 | 2020-10-08 |
| 1164039624 | Morgan Casto | Nurse Practitioner | 2666 Smith Creek Rd, South Charleston, WV 25309-8546 | 2020-09-29 |
| 1164039061 | Andrea Jo Tanner | Nurse Practitioner | 266 Skidmore Ln, Sutton, WV 26601-9271 | 2020-09-25 |
| 1205441078 | Britney Michelle Hanshaw | Nurse Practitioner | 86 Mountain View Drive, Charlton Heights, WV 25040-0251 | 2020-09-09 |
| 1881206969 | Zachariah Redmond | Nurse Practitioner | 250 Retail Cir Ste 106, Morgantown, WV 26508-1677 | 2020-08-19 |
| 1407480031 | Lyndsey Shae Boatwright | Nurse Practitioner | 222 Ferndale Dr, Elkins, WV 26241-3010 | 2020-02-22 |
| 1659905297 | Savannah Jarvis | Nurse Practitioner | 389 Garretts Bnd, Griffithsville, WV 25521-4715 | 2020-02-22 |
| 1497394290 | Allison Smith | Nurse Practitioner | 1001 Centre Way, Charleston, WV 25309-9427 | 2019-12-27 |
| 1538706502 | Nicole Lynn Hutson | Nurse Practitioner | U.S. 250, Huttonsville, WV 26241-2624 | 2019-12-09 |
| 1811533961 | Hongyan Wu | Nurse Practitioner | Neurology Clinic, Wvu Eye Institute, 1 Medical Center Drive, Morgantown, WV 26506 | 2019-11-25 |
| Find all providers with the same taxonomy | ||||
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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.