Nicholas Ely Carlson, ATC, AT/L

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

505 E 3Rd Ave
Suite B
Spokane, WA 99202-1426

Phone

(509) 995-1573

NPI assigned

Aug 12, 2007

Sex

Male

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

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

{
    "created_epoch": "1186876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305158400000",
    "number": "1497947634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 W BARNES RD",
            "address_2": "#E334",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992087027",
            "telephone_number": "509-995-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E 3RD AVE",
            "address_2": "SUITE B",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021426",
            "telephone_number": "509-995-1573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "NICHOLAS",
        "middle_name": "ELY",
        "credential": "ATC, AT/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-12",
        "last_updated": "2011-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Carlson, DPT
• Jennifer A Carlson, DNP, FNP-C
• Jonathan D Carlson, M.D.
• Matthew D Carlson, LMHC, LPC-S
• Megan Carlson, MA, LMHC
• Patricia M Carlson, ARNP
• Polly Thosath Carlson, MS
• Richard Harlan Carlson Jr.
• Scott Carlson, MD
• Shawnn Carlson, MA 60593496

• Athletic Trainer in Spokane, WA
• Providers in Spokane, WA by specialty
• Athletic Trainer in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; 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.