DR. LATONYA JANETT CARROLL DNP APRN.CNP NPI 1700056033

NPI Information

NPI: 1700056033
Provider Name: DR. LATONYA JANETT CARROLL, DNP, APRN.CNP
Classification: Family Medicine - 207QA0401X
Entity Type: Individual

Specialization: Addiction Medicine

PECOS Registration: Yes

Address:
655 N CASSADY AVE STE 7
COLUMBUS, OH
ZIP 43219
Phone: (410) 569-8940
Get Directions

DR. Latonya Janett Carroll, DNP, APRN.CNP is an addiction medicine family medicine in Columbus, OH. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. DR. Latonya Janett Carroll, DNP, APRN.CNP NPI is 1700056033. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

655 N CASSADY AVE STE 7
COLUMBUS, OH
ZIP 43219-720
Phone: (410) 569-8940
Fax: (614) 375-4130

The NPI 1700056033 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/3/2008 and was last updated on 9/24/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QA0401X	Family Medicine	Addiction Medicine	8581	CONNECTICUT	No
2	207QA0401X	Family Medicine	Addiction Medicine	2777000957	ILLINOIS	No
3	207QA0401X	Family Medicine	Addiction Medicine	0024178144	VIRGINIA	No
4	207QA0401X	Family Medicine	Addiction Medicine	104979	WEST VIRGINIA	No
5	207QA0401X	Family Medicine	Addiction Medicine	081831-23	NEW HAMPSHIRE	No
6	207QA0401X	Family Medicine	Addiction Medicine	0001166	COLORADO	No
7	207QA0401X	Family Medicine	Addiction Medicine	344401	NEW YORK	No
8	207QA0401X	Family Medicine	Addiction Medicine	5573	MINNESOTA	No
9	207QA0401X	Family Medicine	Addiction Medicine	820843	NEVADA	No
10	207QA0401X	Family Medicine	Addiction Medicine	APRN02420	RHODE ISLAND	No
11	207QA0401X	Family Medicine	Addiction Medicine	A159261	IOWA	No
12	207QA0401X	Family Medicine	Addiction Medicine	TEMP60444	NEW MEXICO	No
13	207QA0401X	Family Medicine	Addiction Medicine	CNP171188	MAINE	No
14	207QA0401X	Family Medicine	Addiction Medicine	13287	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0100318	MEDICAID	OHIO
2	222585900	MEDICAID	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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