Nathan Lee Carlson, IDMT

Primary specialty

Independent Duty Medical TechniciansTaxonomy code 1710I1003X

Practice address

1050 Jabarrah Ave
Goldsboro, NC 27531-2310

Phone

(919) 722-1821

NPI assigned

May 21, 2013

Sex

Male

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

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1114363884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 JABARRAH AVE",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275312310",
            "telephone_number": "919-722-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 JABARRAH AVE",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275312310",
            "telephone_number": "919-722-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "NATHAN",
        "middle_name": "LEE",
        "credential": "IDMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-21",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caring Hands 4 You LLC
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• Carlie CS of Memorial Drive LLC (Carlie C's Pharmacy #835)
• Alexandria Michael Carlisle, PHARMD
• Carlson Counseling and Wellness Solutions, PLLC
• Vanesha Carlton
• Keith Kilauea Carmack, M.D.
• Mario Carmichael
• Carolina Clinical Counseling, PLLC
• Carolina Compounding Center Inc

• Independent Duty Medical Technicians in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Independent Duty Medical Technicians in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.