Melanie Carlson, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95311730 Issued in CA

Practice address

1425 Frazee Rd
San Diego, CA 92108-4347

Phone

(619) 393-3909

NPI assigned

Jun 6, 2025

Sex

Female

Sole proprietor

No

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

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1749168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1366336091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 UNION ST APT 2505",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921013645",
            "telephone_number": "630-605-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 FRAZEE RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084347",
            "telephone_number": "619-393-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "MELANIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-06",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95311730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Edin Carlson, DO
• Laurel Anne Carlson, NP
• Marie Carlson
• Mary Carlson, LMT
• Matthew Carlson
• Robert Carlson, M.D.
• Songsuda Carlson
• Stacy Marie Carlson, RD
• Taylor Nicole Carlson, DPT
• Troy Carlson

• Family Nurse Practitioner in San Diego, CA
• Providers in San Diego, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.