Kelly Marie Carlin, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

771317 Issued in NY

Practice address

1408 Sweet Home Rd
Buffalo, NY 14228-2783

Phone

(716) 247-5281

Fax

(716) 204-0670

NPI assigned

Aug 9, 2019

Last updated

Aug 9, 2019By the provider in NPPES

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

Credentials

Registered Nurse

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Academic Medicine Services, Inc.

  dba UBMD Internal Medicine

  • Internal Medicine Physician
  • Williamsville, NY
  • NPI 1255394763
  NPD (past)

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1114573771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 SWEET HOME RD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142282783",
            "telephone_number": "716-247-5281",
            "fax_number": "716-204-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 SWEET HOME RD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142282783",
            "telephone_number": "716-247-5281",
            "fax_number": "716-204-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLIN",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-09",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "771317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Carhart, PHD
• Caring Enterprises, Inc (Health Force)
• Carl a. Contino, M.D. PC
• Amanda Nicole Carl, MS
• Katie T Carlberg, M.D.
• Kennette Marie Carlson, MBA, RD, CDN
• Lauren Carlson, MS, CCC-SLP
• Madison Elizabeth Carlson
• Russell E Carlson, M.D.
• Rachel Carman

• Registered Nurse in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; 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.