BRIAN DOUGLAS CARROLL (NPI# 1982180378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982180378 |
| Entity Type | Individual |
| Full Name | BRIAN DOUGLAS CARROLL |
| Credential | RN |
| Practice Address |
4434 Ellipse Dr Jacksonville FL 32246-7450 |
| Practice Telephone | 7723597246 |
| Mailing Telephone | 7723597246 |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2018-07-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 239908-1 | MN | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | RN60682202 | WA | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | RN95113212 | CA | Nursing Service Providers |
| Y | 163W00000X | Registered Nurse | RN2970412 | FL | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497369284 | Brian Carroll | Physician Assistant | 7242 Melotte St, San Diego, CA 92119-1613 | 2020-08-31 |
| 1447399175 | Brian R. Carroll | Dentist | 34405 Grand River Ave, Farmington, MI 48335-3309 | 2007-02-06 |
| 1023180999 | Brian C Carroll | Chiropractor | 1484 Broadway Ave, Holbrook, NY 11741 | 2006-11-15 |
| 1972066579 | Brian Gerard Carroll | Student in an Organized Health Care Education/Training Program | 110 Bergen St, Newark, NJ 07103-2495 | 2019-04-10 |
| 1417449810 | Brian Carroll | Registered Nurse | 800 W 5th Ave, Spokane, WA 99204-2803 | 2018-05-31 |
| 1659799351 | Brian Jeffrey Carroll | Pediatrics | 2530 Chicago Ave Ste 400, Minneapolis, MN 55404-4387 | 2014-03-31 |
| 1558789479 | Brian D. Carroll | Dietitian, Registered | 1909 W Coolidge Ave, Marion, IL 62959-1097 | 2014-03-29 |
| 1891113775 | Brian John Carroll | Obstetrics & Gynecology | 757 Park Ave W Ste 2800, Highland Park, IL 60035 | 2014-03-28 |
| 1790089613 | Brian Christopher Carroll | Speech-Language Pathologist | 2731 Sunberry Ln Nw, Concord, NC 28027-6555 | 2011-01-06 |
| 1447472527 | Brian R Carroll | Social Worker | 19 W 34th St, Penthouse Suite, New York, NY 10001-3006 | 2007-05-02 |
| Street Address |
4434 ELLIPSE DR |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32246-7450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275179863 | Samar A Ibrahim | Pharmacist | 1305 N Orange Ave Green Cove Springs, Jacksonville, FL 32246 | 2019-11-19 |
| 1386290898 | Kelsey R Clevenger | Chiropractor | 4413 Town Center Parkway, Ste. 205, Jacksonville, FL 32246 | 2019-08-12 |
| 1700449006 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 4712 Lake Center Drive, Space 107, Jacksonville, FL 32246 | 2019-04-22 |
| 1205399946 | Usa United Surgical Assistants | Clinic/Center | Bahri Surgical Center, 9726 Touchton Rd, Jacksonville, FL 32246 | 2019-04-10 |
| 1780173526 | Jules Novall LLC | Taxi | 4600 Touchton Rd, Jacksonville, FL 32246 | 2018-05-08 |
| 1740636307 | Jonathan David Browning | Psychiatry & Neurology | 4884 Deer Creek Drive W, Jacksonville, FL 32246 | 2016-05-12 |
| 1952770463 | Alignment Healthcare Florida LLC | Clinic/Center | 3520-1 St. Johns Bluff Rd., Jacksonville, FL 32246 | 2015-09-15 |
| 1558739417 | Jessica Brake | Physical Therapist | 9726 Touchton Road, Suite 104, Jacksonville, FL 32246 | 2015-09-09 |
| 1043686256 | Healthyeye Dba Vision Express LLC | Optometrist | 4871 Town Center Parkway #5, Jacksonville, FL 32246 | 2015-08-12 |
| 1477954675 | Joanivette Rodriguez | Psychologist | 3451 Saland Way Apt 504, Jacksonville, FL 32246 | 2014-09-08 |
| Find all providers in zip 32246 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902406598 | Heidi Ellen Page | Registered Nurse | 3960 Marsh Bluff Dr, Jacksonville, FL 32226-4783 | 2020-11-01 |
| 1851998934 | Shekelia Jones Johnson | Registered Nurse | 3412 Natalie Dr S, Jacksonville, FL 32218-6532 | 2020-10-02 |
| 1598374365 | Dawn Bivins-davis | Registered Nurse | 4150 Beflort Rd, Suite 551642, Jacksonville, FL 32255 | 2020-07-28 |
| 1497383129 | Alice Gbelayan | Registered Nurse | 5858 Theed St, Jacksonville, FL 32211-4649 | 2020-03-30 |
| 1588295901 | Yashica Harris Smalls | Registered Nurse | 401 Ponderosa Dr, Jacksonville, FL 32218-0319 | 2020-02-04 |
| 1104461334 | Stacy Ann Scott-morrell | Registered Nurse | 342 E 46th St, Jacksonville, FL 32208-5480 | 2019-11-12 |
| 1215571641 | Belinda Fleischer | Registered Nurse | Guidewell, 4855 Town Center Parkway, Jacksonville, FL 32246-8437 | 2019-10-29 |
| 1922640234 | Rachel Kidder | Registered Nurse | 2478 Britney Lakes Ln, Jacksonville, FL 32221-3816 | 2019-10-09 |
| 1003466830 | Brandon Neil Hillard | Registered Nurse | 1260 Mcduff Ave. South, Suite 4, Jacksonville, FL 32205 | 2019-09-13 |
| 1275182073 | Dionne F Turner | Registered Nurse | 8201 Green Parrot Rd, Jacksonville, FL 32256-3280 | 2019-09-05 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32246 |
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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.