Jennifer Marie Carlson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101008729 Issued in MI

Practice address

7870W US Highway 2
Manistique, MI 49854-1599

Phone

(906) 341-3254

NPI assigned

Mar 18, 2019

Last updated

Jan 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Reading Write Alaska Inc

  • Speech-Language Pathologist
  • Anchorage, AK
  • NPI 1376849133

  Speech-Language Assistant

  NPD (past)

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1437618667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629S STATE HIGHWAY M149",
            "city": "MANISTIQUE",
            "state": "MI",
            "postal_code": "498548918",
            "telephone_number": "906-286-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7870W US HIGHWAY 2",
            "city": "MANISTIQUE",
            "state": "MI",
            "postal_code": "498541599",
            "telephone_number": "906-341-3254"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3561 S Village St",
            "address_purpose": "LOCATION",
            "city": "Wasilla",
            "state": "AK",
            "postal_code": "996230344",
            "country_code": "US",
            "telephone_number": "906-286-2998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AK",
            "license": "144544",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101008729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam J Burri
• Norlyn Cabonce
• Kellie Campbell, LLMSW
• Stephanie Anne Campbell, DDS
• Jennifer Lee Carlson, R.D.
• Melissa L Carlson, LPC
• Jennifer Lynn Casey, NP
• Linda L Chandanais, PTA
• City of Manistique
• Community Home Medical Inc (Curtis Family Pharmacy)

• Speech-Language Pathologist in Manistique, MI
• Providers in Manistique, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.