Active NPI
Deborah L Carlson, CRNFA
- Registered Nurse
- Chandler, AZ
National Provider Identifier
1215958798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN081217
- Practice address
- 1380 W Maplewood St
Chandler, AZ 85248-1967 - Phone
- (480) 857-9243
- Fax
- (480) 857-9236
- NPI assigned
- Jul 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 Nurse | 163W00000X | RN081217 | AZ | Primary |
Addresses
Primary practice location
1380 W Maplewood St
Chandler, AZ 85248-1967
Mailing address
1380 W Maplewood St
Chandler, AZ 85248-1967
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 486060 | Medicaid | AZ |
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 |
|---|---|---|---|
| RN081217 | AZ | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234137600000",
"number": "1215958798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1380 W MAPLEWOOD ST",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852481967",
"fax_number": "480-857-9236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1380 W MAPLEWOOD ST",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852481967",
"telephone_number": "480-857-9243",
"fax_number": "480-857-9236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "DEBORAH",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "CRNFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2009-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "RN081217",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "486060",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.