Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Phyllis Crisostomo Carroll, FNP-C

Individual provider Family Nurse Practitioner · NPI 1417456351

Phyllis Crisostomo Carroll, FNP-C is a Nurse Practitioner in Richmond, California. Qualified in 2017, 9 years ago. Practices with Brighter Beginnings, an 11-clinician group and works from 2 locations. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2018
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

2727 Macdonald Ave
Richmond, CA 94804-3006
Phone: (510) 236-6990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6100 Redwood Blvd, Novato, CA 94945-4501 — (415) 448-1500

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 9008368 (CA)

Record details

NPI number1417456351
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedFebruary 6, 2018
Last updated in NPPESDecember 11, 2024
Certification dateDecember 11, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Brighter Beginnings — 11 clinicians
Accepts Medicare assignment Not indicated

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