Suzanne L. Carlson, LMP

Primary specialty

ContractorTaxonomy code 171W00000X

License

MA00019945 Issued in WA

Practice address

1233 Lawrence St
Port Townsend, WA 98368-6554

Phone

(360) 370-3005

Fax

(360) 379-0801

NPI assigned

Nov 7, 2006

Last updated

Sep 14, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1336218247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7074 CAPE GEORGE RD",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983688857",
            "telephone_number": "360-379-3005",
            "fax_number": "360-379-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 LAWRENCE ST",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983686554",
            "telephone_number": "360-370-3005",
            "fax_number": "360-379-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "SUZANNE",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "WA",
            "license": "MA00019945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer W Carl
• Carlson Chiropractic Center, PC
• Melissa Beth Carlson-Michaels, D.C.
• Janel Marie Carlson, D.C.
• Kristina Ann Carlson
• Todd J Carlson, M.D.
• Jessica Carol
• Jordan Patricia Carr, LMHC-A
• Cascade Health Services PLLC (Kala Clinic)
• Cascade Medical Investors Limited Partnership (Life Care Center of Port Townsend)

• Contractor in Port Townsend, WA
• Providers in Port Townsend, WA by specialty
• Contractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.