Active NPI
Bonnie M Carlson
- Naturopath
- Weirsdale, FL
National Provider Identifier
1740517028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 2923752
- Practice address
- 14635 SE 180TH St
Weirsdale, FL 32195-3011 - Phone
- (352) 821-3312
- Fax
- (352) 821-3312
- NPI assigned
- Nov 8, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 2923752 | FL | Primary |
Addresses
Primary practice location
14635 SE 180TH St
Weirsdale, FL 32195-3011
Mailing address
PO Box 1102
Lady Lake, FL 32158-1102
Phone (352) 821-3312
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2923752 | FL | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295308800000",
"number": "1740517028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1102",
"city": "LADY LAKE",
"state": "FL",
"postal_code": "321581102",
"telephone_number": "352-821-3312",
"fax_number": "352-821-3312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14635 SE 180TH ST",
"city": "WEIRSDALE",
"state": "FL",
"postal_code": "321953011",
"telephone_number": "352-821-3312",
"fax_number": "352-821-3312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "BONNIE",
"middle_name": "M",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-08",
"last_updated": "2011-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "FL",
"license": "2923752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weirsdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.