Jeffrey S Carlton, RN CRNFA

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN250076 Issued in CA

Practice address

18TH Ave and Hwy 53
Adventist Health Redbud Community Hospital
Clearlake, CA 95422

Phone

(707) 995-5883

Fax

(707) 995-0223

NPI assigned

Dec 15, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124180997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9261 WILDCAT ROAD",
            "city": "KELSEYVILLE",
            "state": "CA",
            "postal_code": "954518813",
            "telephone_number": "707-279-2109",
            "fax_number": "707-279-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18TH AVE AND HWY 53",
            "address_2": "ADVENTIST HEALTH REDBUD COMMUNITY HOSPITAL",
            "city": "CLEARLAKE",
            "state": "CA",
            "postal_code": "95422",
            "telephone_number": "707-995-5883",
            "fax_number": "707-995-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLTON",
        "first_name": "JEFFREY",
        "middle_name": "S",
        "credential": "RN  CRNFA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN250076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ37844Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Torres Calderon
• California Em-I Medical Services
• Brody Skylar Cameron Stenner
• Maria Guadalupe Campos
• Jessica Victoria Cardenas
• Susan Carreon, M.S.W.
• Ciaran George Carroll, FNP, MSN
• Judith Ann Carroll, RI-C0908210706
• Melanie Irene Caruso, LVN
• Salina Lisette Castillo

• Registered Nurse in Clearlake, CA
• Providers in Clearlake, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.