KATHLEEN LEAH CARROLL APN
NPI 1477577567
Nurse Practitioner - Gerontology in Boerne, TX

Q: What is Kathleen Carroll's NPI number?

The NPI number for Kathleen Carroll is 1477577567. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Q: What is Kathleen 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 Kathleen Carroll was last updated on February 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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 July 26, 2006

113 PLEASANT VALLEY DR STE 210, BOERNE, TX 78006(830) 267-4575 Get Directions Write a Review

NPPES record last updated: February 5, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 5, 2020, Jan 19, 2018, Sep 28, 2015 (3 updates tracked since 2015).

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About Kathleen Leah Carroll Apn NPPES

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

KATHLEEN LEAH CARROLL APN (NPI 1477577567) is an individual gerontology provider in Boerne, Texas, licensed in Texas (AP115115) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1477577567

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameKATHLEEN LEAH CARROLLCredential: APN

Location Address113 PLEASANT VALLEY DR STE 210Boerne, TX 78006-5683

Mailing Address113 Pleasant Valley Dr, Ste 210Boerne, TX 78006-5683 · (830) 267-4575

Phone(830) 267-4575

Sole ProprietorNo

Enumeration DateJuly 26, 2006

Last NPPES UpdateFebruary 5, 20203 updates tracked since enumeration

✔ NPI 1477577567 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

Licenses✔ Licensed in TX · AP115115✔ Licensed in TX · 516229

113 PLEASANT VALLEY DR STE 210, Boerne, TX 78006

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Other Identifiers 1

Medicaid182691901TX

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PETER PATRICK ACOSTA M.D.

Family Medicine