Active NPI
Ashley Ryan Carlson, RD, LD
- Registered Dietitian
- Joint Base Lewis McChord, WA
National Provider Identifier
1194007534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD004015
- Practice address
- 9040 Fitzsimmons Dr
Joint Base Lewis McChord, WA 98431-1000 - Phone
- (253) 968-1936
- Fax
- (253) 968-0567
- NPI assigned
- Sep 12, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD004015 | GA | Primary |
Addresses
Primary practice location
9040 Fitzsimmons Dr
Joint Base Lewis McChord, WA 98431-1000
Mailing address
Meddac, 11050 Mount Belvedere Blvd
Fort Drum, NY 13602
Phone (315) 772-4759
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD004015 | GA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531267200000",
"number": "1194007534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MEDDAC, 11050 MOUNT BELVEDERE BLVD",
"city": "FORT DRUM",
"state": "NY",
"postal_code": "13602",
"telephone_number": "315-772-4759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9040 FITZSIMMONS DR",
"city": "JOINT BASE LEWIS MCCHORD",
"state": "WA",
"postal_code": "984311000",
"telephone_number": "253-968-1936",
"fax_number": "253-968-0567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "ASHLEY",
"middle_name": "RYAN",
"name_prefix": "Mrs.",
"credential": "RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-12",
"last_updated": "2018-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "LD004015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joint Base Lewis McChord, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.