Andrea J Carlson, LPN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

252712 Issued in NY

Practice address

220 Fluvanna Ave
Jamestown, NY 14701-2051

Phone

(716) 487-1131

NPI assigned

Mar 10, 2010

Sex

Female

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Willcare

  • Home Health Agency
  • Jamestown, NY
  • NPI 1841740818
  NPD (past)

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268179200000",
    "number": "1578886198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 HIGH ACRES",
            "city": "BEMUS POINT",
            "state": "NY",
            "postal_code": "147129798",
            "telephone_number": "716-484-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 FLUVANNA AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147012051",
            "telephone_number": "716-487-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "ANDREA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-10",
        "last_updated": "2010-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "NY",
            "license": "252712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominick Cannone
• Jessica Lynne Cappa
• Philip Joseph Carcione, BS
• Mathew A Cardinale
• David Gordon Carlberg, RPH
• Erin Carlson
• Heather Elizabeth Carlson
• Lyndsey Marie Carlson, RPA-C
• Michelle Carlson
• Trisha M Carlson, NP

• Licensed Vocational Nurse in Jamestown, NY
• Providers in Jamestown, NY by specialty
• Licensed Vocational Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; 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.