Kathleen Carlson, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95010711 Issued in CA

Practice address

7740 El Camino Real Ste F
Carlsbad, CA 92009-8514

Phone

(619) 232-3500

NPI assigned

Aug 31, 2006

Last updated

Jun 6, 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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kcarlson632566@direct.ochin.org

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.

• Pouya Afshar MD Inc

  dba Integrated Healthcare Alliance Inc.

  • Specialist
  • San Diego, CA
  • NPI 1710336094
  NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1629180161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "telephone_number": "415-658-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7740 EL CAMINO REAL STE F",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920098514",
            "telephone_number": "619-232-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3111 Camino Del Rio N Ste 625",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921085718",
            "country_code": "US",
            "telephone_number": "619-738-5566",
            "fax_number": "619-566-0202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1375 W Green St",
            "address_purpose": "LOCATION",
            "city": "Hastings",
            "state": "MI",
            "postal_code": "490581718",
            "country_code": "US",
            "telephone_number": "269-818-0070",
            "fax_number": "269-818-0044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "KATHLEEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95010711",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704178248",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlsbad Village Family Practice Medical Associates, Inc
• Carlsbad Village Family Practice Medical Associates, Inc
• Carlsbad Village Orthodontics
• Carlsbadds Pediatric Smiles (Linh Tsai, DDS, APC)
• Gregory Mark Carlson, D.D.S.
• Christine Brede Carlton, RDN
• Vivian W Carlton, PA-C
• Starr Carlyle-Coalson
• Blaine Carman, MFT
• Jannette Carmona

• Nurse Practitioner in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.