Nancy Fox Carlson, C.P.N.P.

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

R079032-3 Issued in MN

Practice address

12200 Middle Set Rd
100
Eden Prairie, MN 55344-5415

Phone

(952) 943-8200

Fax

(952) 943-8206

NPI assigned

Nov 18, 2005

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679555171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 MIDDLE SET RD",
            "address_2": "100",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445415",
            "telephone_number": "952-943-8200",
            "fax_number": "952-943-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 MIDDLE SET RD",
            "address_2": "100",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445415",
            "telephone_number": "952-943-8200",
            "fax_number": "952-943-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "NANCY",
        "middle_name": "FOX",
        "name_prefix": "Ms.",
        "credential": "C.P.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MN",
            "license": "R079032-3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janette M. Capaci, APRN
• Patrick G Carey, MD
• Anna Carlen, MA, LADC
• Jordan Ann Carlson
• Kathryn Anne Carlson
• Shoshannah Rose Carlson, CNP, FNP
• Kylie Carrier
• Shane Carriere
• Shannon Michael Carroll-Rolfe, DPT
• Josi Wylynn Carter, LADC

• Pediatric Nurse Practitioner in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Pediatric Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.