Active NPI
Linda Jan Carlson, ARNP
- Pediatric Nurse Practitioner
- Sanford, FL
National Provider Identifier
1033217823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 930872
- Practice address
- 5467 Ronald Reagan Blvd
Sanford, FL 32773-6332 - Phone
- (407) 324-3036
- Fax
- (407) 324-3045
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 930872 | FL | Primary |
Addresses
Primary practice location
5467 Ronald Reagan Blvd
Sanford, FL 32773-6332
Mailing address
606 La Salle Dr
Altamonte Springs, FL 32714-1322
Phone (407) 774-7758
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 311901700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 930872 | FL | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480464000000",
"number": "1033217823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 LA SALLE DR",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327141322",
"telephone_number": "407-774-7758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5467 RONALD REAGAN BLVD",
"city": "SANFORD",
"state": "FL",
"postal_code": "327736332",
"telephone_number": "407-324-3036",
"fax_number": "407-324-3045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "LINDA",
"middle_name": "JAN",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2016-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "930872",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "311901700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sanford, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.