SARA NICOLE CARROLL DO
NPI 1053112250
Student in an Organized Health Care Education/Training Program in Kansas City, MO
About Sara Nicole Carroll Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SARA NICOLE CARROLL DO (NPI 1053112250) is an individual student in an organized health care education/training program in Kansas City, Missouri and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sara Nicole Carroll Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sara Carroll's NPI number?
The NPI number for Sara Carroll is 1053112250. It was assigned to this individual provider in the NPPES registry on March 24, 2025.
Where is Sara Carroll located?
Sara Carroll practices at 14405 NW 74th St, Kansas City, MO 64152. The listed phone number is (816) 377-1577.
What is Sara Carroll's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Sara Carroll enrolled in Medicare?
Yes. Sara Carroll is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Sara Carroll was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Sara Nicole Carroll, DO · NPI 1053112250
Student in an Organized Health Care Education/Training Program provider in Kansas City, Missouri. Individual provider, active in the CMS NPPES registry since March 24, 2025.
## Identity
- **NPI:** 1053112250 (Entity type: Individual)
- **Enumerated:** March 24, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 14405 NW 74TH ST, Kansas City, MO 64152-5121
- **Phone:** (816) 377-1577
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1053112250) · Data from the CMS NPPES public registry.