Individual provider Active NPI

Hilary Jane Carlson, FNP

  • Family Nurse Practitioner
  • San Jose, CA
National Provider Identifier
1225780133
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95018954 Issued in CA
Practice address
San Jose State University 1 Washington Square
San Jose, CA 95192-1372
Phone
(408) 924-1000
NPI assigned
Jan 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95018954 CA Primary

Addresses

Primary practice location

San Jose State University 1 Washington Square
San Jose, CA 95192-1372

Mailing address

5049 Adair Way
San Jose, CA 95124-5342
Phone (408) 649-8684

Other practice location 1

6840 Via Del Oro Ste 210
San Jose, CA 95119-1372
Phone (408) 754-0450

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

LicenseStateTypeSpecialty
95018954CAMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: hcarlson574658@direct.ochin.org

NPI Registry JSON

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1225780133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5049 ADAIR WAY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951245342",
            "telephone_number": "408-649-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAN JOSE STATE UNIVERSITY 1 WASHINGTON SQUARE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951921372",
            "telephone_number": "408-924-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6840 Via Del Oro Ste 210",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951191372",
            "country_code": "US",
            "telephone_number": "408-754-0450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "HILARY",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-21",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95018954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.