Active NPI
Carrie Elizabeth Wilson Friedman, RN,MSN, FNP, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Roseville, CA
National Provider Identifier
1053712729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95001868
- Practice address
- 1189 Melody Lane
Roseville, CA 95678 - Phone
- (916) 299-7244
- Fax
- (916) 581-8669
- NPI assigned
- Sep 11, 2014
- Last updated
- Apr 14, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95001868 | CA | Primary |
Addresses
Primary practice location
1189 Melody Lane
Roseville, CA 95678
Mailing address
1189 Melody Lane
Roseville, CA 95678
Phone (916) 299-7244
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Aug 17, 2023 through Aug 17, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776124800000",
"number": "1053712729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1189 MELODY LANE",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "95678",
"telephone_number": "916-299-7244",
"fax_number": "916-581-8669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1189 MELODY LANE",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "95678",
"telephone_number": "916-299-7244",
"fax_number": "916-581-8669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON FRIEDMAN",
"first_name": "CARRIE",
"middle_name": "ELIZABETH",
"credential": "RN,MSN, FNP, PMHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-11",
"last_updated": "2026-04-14",
"certification_date": "2026-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95001868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.