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MS. KATHLEEN JUDITH CARROLL-HACK PNP
NPI 1679660294
Nurse Practitioner - Pediatrics in Sacramento, CA

Active since October 06, 2006
7275 E SOUTHGATE DR, SUITE 306, SACRAMENTO, CA 95823(916) 422-6635(916) 422-2741 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Kathleen Judith Carroll-hack Pnp NPPES

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

MS. KATHLEEN JUDITH CARROLL-HACK PNP (NPI 1679660294) is an individual pediatrics provider in Sacramento, California, licensed in California (13696) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1679660294
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMS. KATHLEEN JUDITH CARROLL-HACKCredential: PNP
Location Address7275 E SOUTHGATE DR, SUITE 306Sacramento, CA 95823-2628
Mailing Address130 Orrington CirSacramento, CA 95835-1623 · (916) 419-5319
Phone(916) 422-6635
Fax(916) 422-2741
Sole ProprietorNo
Enumeration DateOctober 6, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1679660294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in CA · 13696
7275 E SOUTHGATE DR, Sacramento, CA 95823
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Other Names 1

Former Name (1)Kathleen Judith Carroll

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.

FLORIN MEDICAL CENTER PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
7275 E SOUTHGATE DR, SUITE 302
SACRAMENTO, CA 95823
Sacramento County (916) 422-8111
LIFE FAMILY MEDICINE CLINIC, INC
Family Medicine
7275 E SOUTHGATE DR, STE 102
SACRAMENTO, CA 95823
Sacramento County (916) 704-1458
MD IBRAHIM KHALIL DDS PC
Dentist
7275 E SOUTHGATE DR
SACRAMENTO, CA 95823
Sacramento County (646) 897-8389
CARMINA ROMERO
Counselor
7275 E SOUTHGATE DR
SACRAMENTO, CA 95823
Sacramento County (916) 427-7141
WALTON PEDIATRICS AND MEDICAL ASSOCIATES, INC
Pediatrics
7275 E SOUTHGATE DR, SUITE 306
SACRAMENTO, CA 95823
Sacramento County (916) 422-6635
CHARLES SU DDS
Dentist (General Practice)
7275 E SOUTHGATE DR, 205
SACRAMENTO, CA 95823
Sacramento County (916) 399-1318
BENJAMIN SU HERR D.C., N.M.D.
Chiropractor
7275 E SOUTHGATE DR, SUITE 405
SACRAMENTO, CA 95823
Sacramento County (916) 393-5059
BUSHRA NADEEM MD
Pediatrics
7275 E SOUTHGATE DR, SUITE 306
SACRAMENTO, CA 95823
Sacramento County (916) 422-6635

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 Kathleen Carroll-hack's NPI number?

The NPI number for Kathleen Carroll-hack is 1679660294. It was assigned to this individual provider in the NPPES registry on October 6, 2006. The provider is also known as Kathleen Judith Carroll.

Where is Kathleen Carroll-hack located?

Kathleen Carroll-hack practices at 7275 E Southgate Dr Suite 306, Sacramento, CA 95823. The listed phone number is (916) 422-6635.

What is Kathleen Carroll-hack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Kathleen Carroll-hack was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.