Corinne Georgette-Marie Carlson, RN - IBCHLC (LACTATI

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

RN9173931 Issued in FL

Practice address

6809 White Oak Drive
Pensacola, FL 32503

Phone

(850) 776-9204

NPI assigned

Feb 22, 2017

Sex

Female

Sole proprietor

Yes

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1780123885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6809 WHITE OAK DRIVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32503",
            "telephone_number": "850-776-9204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6809 WHITE OAK DRIVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32503",
            "telephone_number": "850-776-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "CORINNE",
        "middle_name": "GEORGETTE-MARIE",
        "name_prefix": "Mrs.",
        "credential": "RN - IBCHLC (LACTATI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-22",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "FL",
            "license": "RN9173931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caring Hearts Pediatric Extended Care Center, Inc
• Caring Hearts Pediatric Extended Care Center, Inc.
• Carissa Ann Carisse, APRN
• Hollie Beth Carlisle, CLD
• Donald Clinton Carlock Jr., DC
• Jennifer Joanne Carlson, APRN
• Raymond John Carlson Jr., P.A.
• Maria A Carmona-Gonzalez, M.D.
• Caroline Snowberger DO LLC
• Joseph L Caronna Jr., CRNA

• All providers in Pensacola, FL
• Lactation Consultant (Registered Nurse) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.