Nancy Carlson, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R21116 Issued in ND

Practice address

710 N Welo St
Tioga, ND 58852-7117

Phone

(701) 664-3368

Fax

(701) 664-3300

NPI assigned

Jul 11, 2014

Last updated

Jul 11, 2014By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Mercy Medical Center

  • Psychiatry Physician
  • Williston, ND
  • NPI 1801928593
  NPD

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405036800000",
    "number": "1447667399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 159",
            "city": "TIOGA",
            "state": "ND",
            "postal_code": "588520159",
            "telephone_number": "701-664-3368",
            "fax_number": "701-664-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N WELO ST",
            "city": "TIOGA",
            "state": "ND",
            "postal_code": "588527117",
            "telephone_number": "701-664-3368",
            "fax_number": "701-664-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "NANCY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-11",
        "last_updated": "2014-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R21116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teri Andersen, LPCC
• Katie Anderson, COTA/L
• Christina Marie Brooks, LPCC
• David Charles Carlson, DDS
• Corinne E. Coughlin, PA-C
• Dr. David C Carlson D.D.S PC
• Willard Arthur Edwards III
• Kari Ely, FNP-C
• Gracia Gilbertson, PTA

• Family Nurse Practitioner in Tioga, ND
• Providers in Tioga, ND by specialty
• Family Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; 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.