JOHNETTA RA'SHAWN CARROLL
NPI 1407708100
Nurse Practitioner - Gerontology in Headland, AL

Q: What is Johnetta Carroll's NPI number?

The NPI number for Johnetta Carroll is 1407708100. It was assigned to this individual provider in the NPPES registry on February 13, 2026.

Q: What is Johnetta Carroll's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Johnetta Carroll was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since February 13, 2026

208 CARR CIR, HEADLAND, AL 36345(334) 718-2444 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Johnetta Ra'shawn Carroll NPPES

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

JOHNETTA RA'SHAWN CARROLL (NPI 1407708100) is an individual gerontology provider in Headland, Alabama, licensed in Alabama (1-177842) and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1407708100

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameJOHNETTA RA'SHAWN CARROLL

Location Address208 CARR CIRHeadland, AL 36345-1906

Mailing Address208 Carr CirHeadland, AL 36345-1906 · (334) 718-2444

Phone(334) 718-2444

Sole ProprietorNo

Enumeration DateFebruary 13, 2026

NPPES CertifiedFebruary 13, 2026

✔ NPI 1407708100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in AL · 1-177842

208 CARR CIR, Headland, AL 36345

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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 Johnetta Carroll's NPI number?

The NPI number for Johnetta Carroll is 1407708100. It was assigned to this individual provider in the NPPES registry on February 13, 2026.

Where is Johnetta Carroll located?

Johnetta Carroll practices at 208 Carr Cir, Headland, AL 36345. The listed phone number is (334) 718-2444.

What is Johnetta Carroll's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Johnetta Carroll was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.