Joanne Carroll
Nurse Practitioner, Pediatrics in Boston, MA. Individual provider (NPI-1).
NPI number1982807681
StatusActive
Last updated in NPPESFeb 1, 2024
Details
- NPI
- 1982807681
- Entity type
- Individual (NPI-1)
- Name
- Joanne Carroll
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 8, 2007
- Certification date
- Feb 1, 2024
- Last updated
- Feb 1, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | RN2380694 | MA | Yes |
| 363LP0200X | Nurse Practitioner, Pediatrics | F381893 | NY |
Practice location
300 Longwood AveBoston, MA 02115-5724
Phone 617-355-6000
Mailing address
300 Longwood AveBoston, MA 02115-5737
Other practice locations
3959 Broadway
Columbia Uni Depart Pediatrics
New York, NY 10032-1559
Columbia Uni Depart Pediatrics
New York, NY 10032-1559
Phone 212-304-7250 · Fax 212-544-1974
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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