MR. SHANNON EUGENE CARROLL (NPI# 1932515962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932515962 |
| Entity Type | Individual |
| Full Name | MR. SHANNON EUGENE CARROLL |
| Practice Address |
726 Broadway Suite 471 New York NY 10003-9502 |
| Practice Telephone | 2129984780 |
| Practice Fax Number | 2129954096 |
| Mailing Telephone | 2129984780 |
| Mailing Fax Number | 2129954096 |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2014-08-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
401730 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417503152 | Shannon C Carroll | In Home Supportive Care | 405 Buchanan St, Richlands, VA 24641-2414 | 2019-08-16 |
| 1215599170 | Shannon Joan Carroll | Nurse Practitioner | 1448 Richardson St, Baltimore, MD 21230-5322 | 2019-07-01 |
| 1518440429 | Shannon Mikeal Carroll | Social Worker | 2640 International Blvd, Oakland, CA 94601-1512 | 2018-09-07 |
| 1043754955 | Shannon Carroll | Counselor | 120 N Roanoke, Hines, OR 97738 | 2016-12-12 |
| 1740639376 | Shannon Grace Carroll | Speech-Language Pathologist | 12908 Kachina Pl Ne Apt C, Albuquerque, NM 87112-3706 | 2016-06-04 |
| 1912251273 | Shannon Carroll | Speech-Language Pathologist | 7719 224th St E, Graham, WA 98338-7361 | 2012-11-07 |
| 1649737065 | Shannon Carroll | Physician Assistant | 34 Maple St, Norwalk, CT 06850-3894 | 2019-02-21 |
| 1760955405 | Shannon Leigh Carroll | Behavior Technician | 132 Robbs Hill Rd, Lunenburg, MA 01462-2167 | 2019-01-04 |
| 1639658412 | Shannon Michael Carroll | Physical Therapist | 16550 W 78th St Ste B, Eden Prairie, MN 55346-4316 | 2018-08-12 |
| 1932592797 | Shannon Carroll | Family Medicine | 1250 N Bellflower Blvd, Long Beach, CA 90840-0004 | 2015-03-17 |
| Street Address |
726 BROADWAY SUITE 471 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10003-9502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861545 | Mernelis Velazquez | Nurse Practitioner | 726 Broadway, New York, NY 10003-9580 | 2020-11-05 |
| 1376015909 | Samuel Hoelzle | Registered Nurse | 726 Broadway, New York, NY 10003-9616 | 2018-12-20 |
| 1780164533 | Viviana E Perdomo | Registered Nurse | 726 Broadway, New York, NY 10003-9616 | 2018-08-20 |
| 1770073074 | Erika Michelle Mayer | Registered Nurse | 726 Broadway, New York, NY 10003-9616 | 2018-05-14 |
| 1992200539 | Melanie Pabon | Registered Nurse | 726 Broadway, New York, NY 10003-9616 | 2018-03-27 |
| 1902300635 | Alasha Scrubb | Registered Nurse | 726 Broadway, New York, NY 10003-9616 | 2018-03-19 |
| 1932600129 | Eileen Barrett | Registered Nurse | 726 Broadway, New York, NY 10003-9616 | 2018-02-23 |
| 1649771734 | Yomaris Ashley | Registered Nurse | 726 Broadway, New York, NY 10003-1000 | 2018-02-23 |
| 1902307267 | Peggy Elizabeth Saunders-adams I | Registered Nurse | 726 Broadway, New York, NY 10003-9616 | 2018-02-22 |
| 1518468024 | Julia Reich | Registered Nurse | 726 Broadway, New York, NY 10003-9616 | 2018-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245841410 | Therapeutic Alliance of New York | Psychologist | Stephanie Zola, 1 Union Square South - Apt. 21d, New York, NY 10003 | 2020-08-12 |
| 1518586999 | Sandra Zajac | Student in an Organized Health Care Education/Training Program | 350 E17th St, 15 Baird Hall R15bh52, New York, NY 10003 | 2020-04-15 |
| 1235767260 | Katharine Krushel | Student in an Organized Health Care Education/Training Program | Mount Sinai Beth Israel, First Avenue At 16th Street, 7th Floor, Bernstein Pavilion Department of Psychiatry, New York, NY 10003 | 2020-03-27 |
| 1942836861 | Suzanne Redlich | Social Worker | 340 East 17th Street, Silver L.s53, New York, NY 10003 | 2020-03-23 |
| 1245864271 | Maureen Kreider | Nurse Practitioner | 4 Irving Place, Con Edison Employee Wellness Center, New York, NY 10003 | 2020-02-28 |
| 1235780321 | Stacy Hibbert | Social Worker | 337 East Street, New York, NY 10003 | 2019-09-20 |
| 1841846862 | Miryam Alkayyali | Student in an Organized Health Care Education/Training Program | Mount Sinai Beth Isreal, First Avenue and 16th Street, New York, NY 10003 | 2019-08-15 |
| 1215580600 | Anna Catherine Kasprzak | Physician Assistant | 9 Nathan D Perlman Place, Bernstein Building, New York, NY 10003 | 2019-07-24 |
| 1154973105 | Bob P Silverstein | Social Worker | 300 Mercer St., #11e, Bob P. Silverstein, Lcsw, New York, NY 10003 | 2019-07-10 |
| 1962064378 | Simon Garceau | Orthopaedic Surgery | 301 E 17th Street - Nyu Langone Orthopedic Hospital, Education Office, New York, NY 10003 | 2019-07-05 |
| Find all providers in zip 10003 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487267639 | Grace Taylor | Nurse Practitioner | 75 Maiden Ln Fl 7, New York, NY 10038-4619 | 2020-08-27 |
| 1003425729 | Melissa Byers | Nurse Practitioner | 610 E 20th St Apt 3b, New York, NY 10009-1403 | 2020-07-28 |
| 1518595727 | Psychiatric Nurse Practitioner P.c | Nurse Practitioner | 191 Orchard St Apt 4d, New York, NY 10002-1424 | 2020-04-01 |
| 1194351965 | Wellround Provider Group, P.a. | Nurse Practitioner | 401 Park Ave S Fl 9, New York, NY 10016-8808 | 2020-03-12 |
| 1619511219 | Comfort Arms Np Psychiatric Services | Nurse Practitioner | 470 Lenox Ave Apt 1f, New York, NY 10037-3012 | 2019-11-06 |
| 1689227175 | Marianna Garibaldi | Nurse Practitioner | 246 W 38th St Fl 10, New York, NY 10018-5805 | 2019-07-23 |
| 1235781535 | Nathan Hanna | Nurse Practitioner | 6 E 39th St Ste 902, New York, NY 10016-0468 | 2019-07-16 |
| 1528610854 | Cohen Psychiatric Services Pllc | Nurse Practitioner | 57 W 57th St Ste 801, New York, NY 10019-2802 | 2019-07-16 |
| 1952962227 | Richard Callado | Nurse Practitioner | 245 5th Ave Ste 336, New York, NY 10016 | 2019-06-26 |
| 1467017392 | Shaneika Lindsay | Nurse Practitioner | 109 W 27th St Ste 5s, New York, NY 10001-6208 | 2019-05-06 |
| Find all providers in NEW YORK | ||||
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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.