Individual provider Active NPI

Kami Dickson Carlson, ANP

  • Adult Health Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1073546974
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
10489 Issued in TN
Practice address
501 Great Circle Rd FL 3
Nashville, TN 37228-1317
Phone
(615) 436-9060
Fax
(615) 235-9725
NPI assigned
Jul 7, 2006
Last updated
May 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 10489 TN Primary
Adult Health Nurse Practitioner 363LA2200X AP2090 AZ

Addresses

Primary practice location

501 Great Circle Rd FL 3
Nashville, TN 37228-1317

Mailing address

201 Jordan Rd Ste 100
Franklin, TN 37067-4495
Phone (615) 905-5461

Other names 1

  • Ms. Kami Dickson Clark Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kami.carlson@237407481626628.direct.elationemr.com CareBridge Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050923000357 AZ Practitioner - Nurse Practitioner 4284668757 Reassigns benefits to 1 organization
I20070807000831 TN Practitioner - Nurse Practitioner 4284668757 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
10489TNMDGeneral Practice Dentistry
AP2090AZMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carebridge Medical Group Nurse Practitioner CurrentSince Apr 28, 2022 Accepting new patients
St. Joseph's Hospital and Medical Center CurrentSince Aug 30, 2020 Accepting new patients
Sjhmc Physician Services CurrentSince May 2, 2011 Accepting new patients

Locations

20 E Thomas Rd
Ste 2200
Phoenix, AZ 85012
Phone (310) 515-8113

500 W Thomas Rd
Ste 680
Phoenix, AZ 85013
Phone (602) 406-6017

File 56765
Los Angeles, CA 90074

501 Great Circle Rd
Fl 3
Nashville, TN 37228
Phone (615) 679-0987

926 Main St
Nashville, TN 37206
Phone (615) 435-9060

Interoperability endpoints

  • Direct secure messaging: kami.carlson@237407481626628.direct.elationemr.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1073546974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 JORDAN RD STE 100",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370674495",
            "telephone_number": "615-905-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 GREAT CIRCLE RD FL 3",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281317",
            "telephone_number": "615-436-9060",
            "fax_number": "615-235-9725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "KAMI",
        "middle_name": "DICKSON",
        "name_prefix": "Ms.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "10489",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "AP2090",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kami.carlson@237407481626628.direct.elationemr.com",
            "affiliation": "Y",
            "endpointDescription": "CareBridge Medical Group",
            "affiliationName": "CareBridge Medical Group",
            "address_1": "501 Great Circle Rd Fl 3",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372281317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KAMI",
            "last_name": "CLARK",
            "middle_name": "DICKSON",
            "prefix": "MS.",
            "credential": "ANP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.