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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KAITLIN J CARROLL FNP
NPI 1356880066
Nurse Practitioner - Family in Mineola, NY

Active since February 14, 2017
222 STATION PLZ N STE 104, MINEOLA, NY 11501(516) 663-1500(516) 663-1877 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2026, Mar 17, 2018, Jan 12, 2018 and 1 more (4 updates tracked since 2017).

About Kaitlin J Carroll Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAITLIN J CARROLL FNP (NPI 1356880066) is an individual family provider in Mineola, New York, licensed in New York (F341424-1) and active in the NPI registry since February 2017. She maintains a secondary practice location in Rockville Centre.

NPPES Registry Identity

NPI1356880066
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAITLIN J CARROLLCredential: FNP
Location Address222 STATION PLZ N STE 104Mineola, NY 11501-3800
Mailing Address5 Bradl LnNanuet, NY 10954-3131 · (516) 395-7302
Phone(516) 663-1500
Fax(516) 663-1877
Sole ProprietorYes
Enumeration DateFebruary 14, 2017
Last NPPES UpdateJuly 15, 20264 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
✔ NPI 1356880066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F341424-1
222 STATION PLZ N STE 104, Mineola, NY 11501
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Secondary Practice Location 1

Location 1412 Merrick RdRockville Centre, NY 11570-5427 · Phone (516) 395-7302

Other Identifiers 1

Medicaid04749804NY

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 Kaitlin Carroll's NPI number?

The NPI number for Kaitlin Carroll is 1356880066. It was assigned to this individual provider in the NPPES registry on February 14, 2017.

Where is Kaitlin Carroll located?

Kaitlin Carroll practices at 222 Station Plz N Ste 104, Mineola, NY 11501. The listed phone number is (516) 663-1500.

What is Kaitlin Carroll's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kaitlin Carroll was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.