Individual provider Active NPI

Lauren Carlson, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Salem, OR
National Provider Identifier
1013292952
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201500942NP-PP Issued in OR
Practice address
900 State Street
Willamette University - Bishop Wellness Center
Salem, OR 97301
Phone
(503) 703-6062
NPI assigned
Oct 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60159025 WA
Family Nurse Practitioner 363LF0000X 201500942NP-PP OR Primary

Addresses

Primary practice location

900 State Street
Willamette University - Bishop Wellness Center
Salem, OR 97301

Mailing address

900 State Street
Willamette University - Bishop Wellness Center
Salem, OR 97301
Phone (503) 703-6062

Other practice location 1

205 Main St
Aumsville, OR 97325-9018
Phone (503) 749-4734

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lauren.carlson.1@14369.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150430000550 OR Practitioner - Nurse Practitioner 6305010380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN60159025WAMDRegistered Nurse
201500942NP-PPORMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: lcarlson@santiam.securechart.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1013292952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 STATE STREET",
            "address_2": "WILLAMETTE UNIVERSITY - BISHOP WELLNESS CENTER",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97301",
            "telephone_number": "503-703-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 STATE STREET",
            "address_2": "WILLAMETTE UNIVERSITY - BISHOP WELLNESS CENTER",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97301",
            "telephone_number": "503-703-6062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Main St",
            "address_purpose": "LOCATION",
            "city": "Aumsville",
            "state": "OR",
            "postal_code": "973259018",
            "country_code": "US",
            "telephone_number": "503-749-4734",
            "fax_number": "503-749-3745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "LAUREN",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-11",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60159025",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201500942NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lauren.carlson.1@14369.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "205 Main St",
            "city": "Aumsville",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973259018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.