Ms Latisha Janine Carroll, RN is a
Registered Nurse based in Columbus, Ohio. Ms Latisha Janine Carroll is licensed to practice in Ohio (license number RN357419) and her current practice location is
655 N Cassady Ave Ste 7, Columbus, Ohio. She can be reached at her office (for appointments etc.) via phone at
(614) 843-4013.
NPI number for Ms Latisha Janine Carroll is 1023245362 and her current mailing address is 1391 W 5th Ave # 241, Columbus, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023245362.
Healthcare Provider's Profile
| Full Name | Ms Latisha Janine Carroll |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse |
|---|
| Location | 655 N Cassady Ave Ste 7, Columbus, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1023245362
- Provider Enumeration Date: 06/13/2009
- Last Update Date: 02/04/2021
Medical Identifiers
Medical identifiers for Ms Latisha Janine Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023245362 | NPI | - | NPPES |
| 0117919 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 173320 (Ohio) | Secondary |
| 163WC1600X | Registered Nurse - Continuing Education/staff Development | RN357419 (Ohio) | Secondary |
| 163WH0200X | Registered Nurse - Home Health | RN357419 (Ohio) | Secondary |
| 163WM1400X | Registered Nurse - Nurse Massage Therapist (nmt) | RN357419 (Ohio) | Secondary |
| 174H00000X | Health Educator | (* (Not Available)) | Secondary |
| 225700000X | Massage Therapist | (* (Not Available)) | Secondary |
| 225700000X | Massage Therapist | 33.025302 (Ohio) | Secondary |
| 163W00000X | Registered Nurse | RN357419 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Latisha Janine Carroll is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Latisha Janine Carroll, RN
1391 W 5th Ave # 241,
Columbus, OH 43212-2902
Ph: (614) 935-4785 | Ms Latisha Janine Carroll, RN
655 N Cassady Ave Ste 7,
Columbus, OH 43219-2720
Ph: (614) 843-4013 |
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