Claudia J Carlson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9371898 Issued in FL

Practice address

622 Dundee LN
Holmes Beach, FL 34217-1216

Phone

(503) 819-3132

NPI assigned

Mar 3, 2006

Last updated

Feb 11, 2016By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Legacy Clinics LLC

  • Clinic/Center
  • Portland, OR
  • NPI 1902827272
  NPD (past)

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1730156290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 DUNDEE LN",
            "city": "HOLMES BEACH",
            "state": "FL",
            "postal_code": "342171216",
            "telephone_number": "503-819-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 DUNDEE LN",
            "city": "HOLMES BEACH",
            "state": "FL",
            "postal_code": "342171216",
            "telephone_number": "503-819-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "CLAUDIA",
        "middle_name": "J",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-03",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9371898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Mobile Healthcare LLC
• Ami Occupational Therapy and Wellness
• Anna Maria Island Dental Inc.
• Paul Joseph Barrese, MD
• Joseph John Catera, PHARMD
• Elaine Comerford, LCSW
• Dena Marie Dahlquist, ARNP-C
• Lisa Jane Dewitt, D.O.
• Christina Elene Dowd, PHARMD

• Family Nurse Practitioner in Holmes Beach, FL
• Providers in Holmes Beach, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; 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.