Active NPI
Dustin James Carlson, DNP, ARNP, FNP-BC
- Family Nurse Practitioner
- Kennewick, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP61478226
- Practice address
- 721 S Auburn St
Kennewick, WA 99336-5629 - Phone
- (509) 547-2204
- Fax
- (509) 542-8836
- NPI assigned
- Sep 14, 2022
- Last updated
- May 20, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN60651641 | WA | |
| Family Nurse Practitioner | 363LF0000X | AP61478226 | WA | Primary |
Addresses
Primary practice location
721 S Auburn St
Kennewick, WA 99336-5629
Mailing address
PO Box 1452
Pasco, WA 99301-1223
Phone (509) 547-2204
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
721 S Auburn St
Kennewick, WA 99336-5629
Phone (509) 547-2204
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN60651641 | WA | MD | Registered Nurse |
| AP61478226 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-Cities Community Health | Current | Accepting new patients | |
| Tri-Cities Community Health | Current | Accepting new patients | |
| Tri-Cities Community Health | Past | Accepting new patients | |
| Tri Cities Community Health | Past | Accepting new patients |
Locations
3180 W Clearwater Ave
Ste A
Kennewick, WA 99336
721 S Auburn St
Kennewick, WA 99336
Phone (509) 543-8518
515 W Court St
Pasco, WA 99301
Phone (509) 545-3020
829 Goethals Dr
Richland, WA 99352
Phone (509) 713-7331
915 Goethals Dr
Richland, WA 99352
Phone (509) 946-3700
Interoperability endpoints
- dustin.carlson.1@21034.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Kennewick, WA
- NPI 1861698987
-
- Federally Qualified Health Center (FQHC)
- Pasco, WA
- NPI 1225145105
-
- Federally Qualified Health Center (FQHC)
- Pasco, WA
- NPI 1659995504
-
dba Tri-Cities Community Health - Auburn
- Federally Qualified Health Center (FQHC)
- Kennewick, WA
- NPI 1619417516
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Columbia River Home Health
- Home Health Agency
- Kennewick, WA
- NPI 1699263079
-
- General Acute Care Hospital
- Richland, WA
- NPI 1972507580
-
- General Acute Care Hospital
- Kennewick, WA
- NPI 1578058137
-
dba Tri Cities Home Health
- Home Health Agency
- Kennewick, WA
- NPI 1679547244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716163200000",
"number": "1194447334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1452",
"city": "PASCO",
"state": "WA",
"postal_code": "993011223",
"telephone_number": "509-547-2204",
"fax_number": "509-542-8836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 S AUBURN ST",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993365629",
"telephone_number": "509-547-2204",
"fax_number": "509-542-8836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "DUSTIN",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "DNP, ARNP, FNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-09-14",
"last_updated": "2024-05-20",
"certification_date": "2024-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN60651641",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP61478226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.