Lori Ann Carlson, OWNER

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

A683998000 Issued in MN

Practice address

626 Main St N
Cambridge, MN 55008-1271

Phone

(763) 689-8984

Fax

(763) 689-1170

NPI assigned

Aug 20, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1639726110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 MAIN ST N",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550081271",
            "telephone_number": "763-689-8984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 MAIN ST N",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550081271",
            "telephone_number": "763-689-8984",
            "fax_number": "763-689-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "LORI",
        "middle_name": "ANN",
        "credential": "OWNER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "MN",
            "license": "A683998000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Cambridge",
            "affiliation": "N",
            "endpointDescription": "Adult Day Center",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Cambridge",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "626 Main St N",
            "city": "Cambridge",
            "state": "MN",
            "country_code": "US",
            "postal_code": "550081271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Paul E Carlson, MD
• Abigail Eleanor Carpenter
• Monique Adrienne Licudine Catienza, DDS
• Thomas Harold Caza, PHARM.D.,RPH
• Centered & Balanced Therapy

• Personal Care Attendant in Cambridge, MN
• Providers in Cambridge, MN by specialty
• Personal Care Attendant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.

Verify at the official NPI Registry.