Jane Elizabeth Carlstrom, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

5032 Issued in MN

Practice address

164 Pillsbury Drive S.E.
115 Shevlin Hall
Minneapolis, MN 55455-0279

Phone

(612) 624-7307

Fax

(612) 624-7586

NPI assigned

Jul 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Regents of the University of Minnesota

  • Audiologist
  • Minneapolis, MN
  • NPI 1427243484
  NPD (past)

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1104025725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 PILLSBURY DRIVE S.E.",
            "address_2": "115 SHEVLIN HALL",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554550279",
            "telephone_number": "612-624-7307",
            "fax_number": "612-624-7586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 PILLSBURY DRIVE S.E.",
            "address_2": "115 SHEVLIN HALL",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554550279",
            "telephone_number": "612-624-7307",
            "fax_number": "612-624-7586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSTROM",
        "first_name": "JANE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-13",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MN",
            "license": "5032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie A Carlson, LMFT
• Thomas Jerry Carlson
• William Clements Carlson, LICSW
• William E Carlson, PT-A
• Alyssa Carlstrom, MS, RD, LD
• Julia Kathryn Carlstrom
• Geraldine Delores Carlton, LADC
• Gregory T Carlton
• Jill Alison Carlton, LICSW
• Steven Michael Carney, MSW, LICSW

• Audiologist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Audiologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.