IndividualActive
Lisa Carroll
NPI 1174989909 · Early Intervention Provider Agency · Broad Channel, NY
Lisa Carroll is a Early Intervention Provider Agency provider in Broad Channel, NY (NPI 1174989909).
Provider details
- NPI number
- 1174989909
- Entity type
- Individual
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
17 W 11th Rd
Broad Channel, NY 11693-1115
Phone: (347) 754-0711
Street-level locationGet directions
Mailing address
17 W 11th Rd
Broad Channel, NY 11693-1115
Registry dates
- Enumerated
- 2016-01-09
- Last updated
- 2016-01-09
Frequently asked questions
- What is Lisa Carroll's NPI number?
- Lisa Carroll's National Provider Identifier (NPI) is 1174989909, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lisa Carroll's specialty?
- Lisa Carroll is listed in the NPPES registry with a primary specialty of Early Intervention Provider Agency (Agencies).
- Where is Lisa Carroll located?
- Lisa Carroll's practice location on file with NPPES is 17 W 11th Rd, Broad Channel, NY 11693-1115.
- What is Lisa Carroll's phone number?
- The practice phone number listed in the NPPES registry for Lisa Carroll is (347) 754-0711.
- Is Lisa Carroll's NPI active?
- Yes — Lisa Carroll's NPI (1174989909) is active in the NPPES registry as of the last update on 2016-01-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.