Active NPI
Andrea Carlson, DVM
- Specialist
- Merrillville, IN
National Provider Identifier
1508320318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 6165
- Practice address
- 3570 E Lincoln Hwy
Merrillville, IN 46410-5830 - Phone
- (219) 942-0909
- Fax
- (219) 942-0900
- NPI assigned
- Jan 25, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 6165 | IN | Primary |
Addresses
Primary practice location
3570 E Lincoln Hwy
Merrillville, IN 46410-5830
Mailing address
3570 E Lincoln Hwy
Merrillville, IN 46410-5830
Phone (219) 942-0909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6165 | IN | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548374400000",
"number": "1508320318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3570 E LINCOLN HWY",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464105830",
"telephone_number": "219-942-0909",
"fax_number": "219-942-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3570 E LINCOLN HWY",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464105830",
"telephone_number": "219-942-0909",
"fax_number": "219-942-0900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "ANDREA",
"name_prefix": "Dr.",
"credential": "DVM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-25",
"last_updated": "2019-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IN",
"license": "6165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merrillville, IN
- Cardiovascular Consultants & Preventive Medicine Institute, LLC
- Caregiver Staffing, Inc.
- Carepointe, P.C.
- Caring Corner LLC
- Caring Hands Loving Heart LLC
- Lauren Nicole Carlson, DMD
- Jonelle G Carns, MSW
- Carol B Edwards, PSYD, HSPP, Clinical Psychologist, LLC
- Brittany T Carr, CMT
- Britney Carrillo, RBT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.