Jean Marie Carlson

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

L0579272 Issued in MN

Practice address

106 4TH Ave N
Fergus Falls, MN 56537-1054

Phone

(218) 998-3778

Fax

(318) 998-3187

NPI assigned

Apr 29, 2008

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)

Not enrolled

State licenses

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.

• CK Home Health

  • Assisted Living Facility
  • Fergus Falls, MN
  • NPI 1447553284
  NPD (past)
• CK Home Health Care Inc.

  • Home Health Agency
  • Fergus Falls, MN
  • NPI 1568685683
  NPD (past)

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1689849838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24765 HEARTLAND DR",
            "city": "NEVIS",
            "state": "MN",
            "postal_code": "56467",
            "telephone_number": "218-652-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 4TH AVE N",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565371054",
            "telephone_number": "218-998-3778",
            "fax_number": "318-998-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "JEAN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "L0579272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Care 2000 Homecare Services of Fergus Falls
• Care Call Van Service
• Careavan Mobility 4 U
• Felicia Pouyonoh Carl, LPN
• Carlson Chiropractic Group, PA
• Randy Robert Carlson, D.C.
• Sheila Marie Carlson, RN
• Amanda Carr-Johnson
• Catholic Charities of the Diocese of St. Cloud
• Curtis Lee Cavalier, RN

• Registered Nurse in Fergus Falls, MN
• Providers in Fergus Falls, MN by specialty
• Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.