Individual
KELLY N. CARROLL
Active
Individual
KELLY N. CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.363284
IL
163W00000X
Registered Nurse
172314-30
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
209.011923
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F400175500
MEDICARE PTAN
IL
01
—
P01459217
RAILROAD MEDICARE
IL
Enumeration date
09/26/2014
Last updated
03/28/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up