| Kerry Carroll, NP | |
|
3285 Ferguson St Sw, Tumwater, WA 98512-6143 | |
| (360) 943-1907 | |
| (603) 943-1932 |
| Full Name | Kerry Carroll |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 3285 Ferguson St Sw, Tumwater, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871027904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 810971 (Texas) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP61078096 (Washington) | Primary |
| Entity Name | Telecare Mental Health Services of Washington, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780913657 PECOS PAC ID: 5698804409 Enrollment ID: O20100603000217 |
| Entity Name | Alliance for South Sound Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891298980 PECOS PAC ID: 5395094197 Enrollment ID: O20200327000694 |
| Mailing Address | Practice Location Address |
|---|---|
| Kerry Carroll, NP 3285 Ferguson St Sw, Tumwater, WA 98512-6143 Ph: (360) 943-1907 | Kerry Carroll, NP 3285 Ferguson St Sw, Tumwater, WA 98512-6143 Ph: (360) 943-1907 |
Mr. Christopher Thomas Ramos, MS, PMHMP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2011 Mottman Rd Sw Bldg 34-216, Tumwater, WA 98512 Phone: 360-358-2853 |
Louise Kaplan, PHD, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 150 Dennis St Sw Ste A, Tumwater, WA 98501 Phone: 360-754-6367 Fax: 360-754-6429 |
Diana Wilcox, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 344 Cleveland Ave Se Ste H, Tumwater, WA 98501 Phone: 360-561-9906 |
Jennifer Lynn Venable, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6334 Littlerock Rd Sw Bldg 6, Tumwater, WA 98512 Phone: 360-704-7590 Fax: 360-704-7591 |
Mandie Rose Gardner, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7146 Country Village Dr Sw, Tumwater, WA 98512 Phone: 219-384-7104 |
Dr. Jessica Bruce Ahern, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 150 Dennis St Sw, Tumwater, WA 98501 Phone: 360-754-6367 |
Kimberly Ireland, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 150 Dennis St Sw, Tumwater, WA 98501 Phone: 360-754-6367 Fax: 360-754-6429 |