MS. VALERIE ANASTASIA CARROLL (NPI# 1861682221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861682221 |
| Entity Type | Individual |
| Full Name | MS. VALERIE ANASTASIA CARROLL |
| Credential | PAC |
| Practice Address |
3034 Fish Hatchery Rd Fitchburg WI 53713-3125 |
| Mailing Address |
7974 Uw Health Ct Middleton WI 53562-5531 |
| Practice Telephone | 6082705656 |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2015-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2899 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | STATE LISCENSE | 85003005 | 01 |
| IL | LICENSED PHYSICIAN ASSISTANT | 85003005 | 01 |
| IL | NCCPA CERTIFICATION | 1077788 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750746343 | Valerie Carroll | Physician Assistant | 404 West Main Street, Uniontown, PA 15401 | 2015-12-23 |
| 1013320639 | Valerie Carroll | Counselor | 19 Union Sq W, Floor 7, New York, NY 10003-3304 | 2014-06-11 |
| Street Address |
3034 FISH HATCHERY RD |
| City | FITCHBURG |
| State | WI |
| Zip Code | 53713-3125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386291458 | Fresenius Kidney Care Madison, LLC | Clinic/Center | 3034 Fish Hatchery Rd, Fitchburg, WI 53713-3125 | 2019-08-22 |
| 1174971006 | Ravi V Patel | Internal Medicine | 3034 Fish Hatchery Rd, Fitchburg, WI 53713 | 2016-06-01 |
| 1528473733 | Cesar F Hernandez-arroyo | Internal Medicine | 3034 Fish Hatchery Rd, Fitchburg, WI 53713-3125 | 2014-06-25 |
| 1073878443 | Jennifer L. Larson | Nurse Practitioner | 3034 Fish Hatchery Rd, Fitchburg, WI 53713-3125 | 2012-07-11 |
| 1881968188 | Fahad Aziz | Internal Medicine | 3034 Fish Hatchery Rd, Fitchburg, WI 53713-3125 | 2012-03-05 |
| 1235466020 | Gauri Bhutani | Internal Medicine | 3034 Fish Hatchery Rd, Fitchburg, WI 53713-3125 | 2009-11-16 |
| 1154558773 | Uzoamaka E Achufusi | Internal Medicine | 3034 Fish Hatchery Rd, Fitchburg, WI 53713-3125 | 2009-06-22 |
| 1528218781 | Tripti Singh | Internal Medicine | 3034 Fish Hatchery Rd, Fitchburg, WI 53713-3125 | 2008-09-24 |
| 1356506794 | Ali Ibrahim Gardezi | Internal Medicine | 3034 Fish Hatchery Rd, Fitchburg, WI 53713-3125 | 2008-07-24 |
| 1114197878 | Laura Maursetter | Internal Medicine | 3034 Fish Hatchery Rd, Fitchburg, WI 53713-3125 | 2008-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508406760 | Diana Kay Woodruff | Registered Nurse | Madison West Comprehensive Treatment Center, 151 E. Badger Rd. Suite A, Madison, WI 53713 | 2020-01-15 |
| 1568008886 | Avery Reven Kansteiner | Counselor | 105 Ski Court, Madison, WI 53713 | 2019-11-21 |
| 1518501329 | Erica D Anderson | Counselor | 1125 W Badger Rd Apt 6, Madison, WI 53713 | 2019-11-05 |
| 1942799739 | Emily Natera | Counselor | 128 E. Olin Ave., Ste. 100, Madison, WI 53713 | 2018-05-07 |
| 1295255644 | Renee Denise Wilberg | Counselor | 122 E. Olin Avenue, Madison, WI 53713 | 2017-06-26 |
| 1548793060 | Racquel Williams-kroll | Registered Nurse | 151 East Badger Road Ste A, Madison, WI 53713 | 2017-04-11 |
| 1124570841 | Shirley Norman-johnson | Licensed Practical Nurse | 115 East Badger Rd, Suite A, Madison, WI 53713 | 2016-10-28 |
| 1629525613 | Katherine Simons Melde | Nurse Practitioner | 2222 S Park St Ste 210, Madison, WI 53713 | 2016-09-07 |
| 1013301779 | Bio-medical Applications of Wisconsin, Inc. | Clinic/Center | 2840 Index Rd., Madison, WI 53713 | 2015-03-20 |
| 1902147721 | Jill Zimmerman | Occupational Therapy Assistant | 2801 Coho Street, Suite 300, Madison, WI 53713 | 2013-03-04 |
| Find all providers in zip 53713 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487693776 | Debra A Schrader | Physician Assistant | 3034 Fish Hatchery Rd, Fitchburg, WI 53713-3125 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093348542 | Christopher Sean Lanctin | Physician Assistant | 557 N 17th St Apt 310, Milwaukee, WI 53233-2128 | 2020-02-12 |
| 1750936068 | Javier Eugenio Font | Physician Assistant | 813 N Clover Ln, Cottage Grove, WI 53527-9433 | 2019-08-04 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1588225544 | Hannah Elizabeth Krum | Physician Assistant | S80w17784 Brennan Dr, Muskego, WI 53150-8828 | 2019-06-21 |
| 1255825162 | Katelyn Marie Frankwick | Physician Assistant | 1011 E Spruce St # 6, Abbotsford, WI 54405-9647 | 2018-06-15 |
| 1831644228 | Megan E Nelson | Physician Assistant | 221 E Mills Dr, Lake Mills, WI 53551-1910 | 2016-08-16 |
| 1356717904 | Amy Hermus | Physician Assistant | 451 Butternut Dr, Oregon, WI 53575-1349 | 2015-08-18 |
| 1497168066 | Alexander J Hill | Physician Assistant | 1111 North Road, Mauston, WI 53948-0700 | 2014-06-11 |
| 1487083242 | Andrew John Miller | Physician Assistant | 1521 Lakeview Ave, Wausau, WI 54401-6168 | 2013-11-02 |
| 1386944502 | Bethany Rose Yard | Physician Assistant | 18601 Lincoln Street, Whitehall, WI 54773 | 2010-10-22 |
| 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.