MS. CARMELIA RENEE CARROLL (NPI# 1871979229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871979229 |
| Entity Type | Individual |
| Full Name | MS. CARMELIA RENEE CARROLL |
| Credential | FNP-C |
| Practice Address |
2111 Landmark Cir Nw Minot ND 58703-1967 |
| Mailing Address |
Po Box 997 Bismarck ND 58502-0997 |
| Practice Telephone | 9197341779 |
| Mailing Telephone | 7015307000 |
| Enumeration Date | 2015-08-08 |
| Last Update Date | 2019-01-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208M00000X | Hospitalist | F07151248 | NC | Allopathic & Osteopathic Physicians |
| Y | 363L00000X | Nurse Practitioner | R47017 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1871979229 | 05 |
| Street Address |
2111 LANDMARK CIR NW |
| City | MINOT |
| State | ND |
| Zip Code | 58703-1967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013533520 | Katelyn Jeanne Richter | Nurse Practitioner | 2111 Landmark Cir Nw, Minot, ND 58703-1967 | 2020-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376197673 | Kathryn Gallagher | Social Worker | Minot Air Force Base, Apo, AA 58703 | 2019-07-25 |
| 1720527120 | North Hill Pharmacy LLC | Pharmacy | 2111 Landmark Cir Nw Ste C, Minot, ND 58703 | 2017-02-17 |
| 1881138238 | Ashley A Beeter, Pmh-dnp | Nurse Practitioner | 24 North Main Street, Suite K, Minot, ND 58703 | 2016-12-05 |
| 1851768501 | Apex Chiropractic | Chiropractor | 1500 21st Ave Nw, Suite 105, Minot, ND 58703 | 2015-08-28 |
| 1033404546 | Kayla R Lambrecht | Physical Therapist | 2111 Landmark Cir Nw # B, Minot, ND 58703 | 2011-06-13 |
| 1265684062 | Minot Dentistry PC | Dentist | 600-22nd Ave Nw, Minot, ND 58703 | 2008-10-13 |
| 1073529350 | Orvin G. Lommen | Social Worker | #9 Cortland Drive, Minot, ND 58703 | 2006-07-31 |
| 1306872478 | James Christopher Everett | Chiropractor | 2217 16th Street Nw, Minot, ND 58703 | 2006-06-23 |
| 1760917975 | Derek Cluff | Dentist | 194 Missle Ave, Minot Afb, ND 58703 | 2017-04-25 |
| 1750701280 | Mary J Solberg | Social Worker | 1705 4th Ave Nw, Minot, ND 58703 | 2014-04-23 |
| Find all providers in zip 58703 | ||||
| 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 |
|---|---|---|---|---|
| 1730741992 | Alicia Michelle Crosby | Nurse Practitioner | 101 3rd Ave Sw Ste 201, Minot, ND 58701-3880 | 2019-07-08 |
| 1326602897 | Madison Huff | Nurse Practitioner | 13 2nd Ave Se, Minot, ND 58701-3906 | 2019-04-30 |
| 1841777273 | Lakeview Health Clinic | Nurse Practitioner | 2050 36th Ave Sw Ste 201, Minot, ND 58701-7595 | 2018-07-28 |
| 1356661474 | Desiree A Desjardins | Nurse Practitioner | 3108 S Broadway Ste H, Minot, ND 58701-3127 | 2010-06-11 |
| 1942400726 | Heidi H Bender | Nurse Practitioner | 20 Burdick Expy W Ste 504, Minot, ND 58701-4498 | 2007-07-20 |
| 1417594425 | Jennifer Ann Napora | Nurse Practitioner | 2050 36th Ave Sw Ste 201, Minot, ND 58701-7595 | 2019-12-09 |
| 1093377301 | Angela Joy Heintz | Nurse Practitioner | 400 Burdick Expy E, Minot, ND 58701-4768 | 2019-07-08 |
| 1073171864 | Alicia Flesner | Nurse Practitioner | 1 Burdick Expy W, Minot, ND 58701-4406 | 2019-06-05 |
| 1942749247 | Brittany Haugtvedt | Nurse Practitioner | 1418 S Broadway Ste B, Minot, ND 58701-6109 | 2017-02-20 |
| 1346600251 | Noelle Riehl | Nurse Practitioner | 801 21st Ave Se, Minot, ND 58701-6064 | 2016-03-04 |
| Find all providers in MINOT | ||||
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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.