Carrie Carlson, OTD, OTR/L
Individual provider Active NPI Community Health Worker · Cedar Rapids, IA
NPI 1780136200 · NPPES record last updated Nov 1, 2016
Key facts
- NPI
- 1780136200
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- License
- 00162 (IA)
- Practice address
- 4608 Blarney Dr
Cedar Rapids, IA 52411-8069 - Phone
- (319) 290-1292
- NPI assigned
- Nov 1, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00162 | IA | MD | Community Health Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 00162 | IA | Yes |
Addresses
Primary practice location
4608 Blarney Dr
Cedar Rapids, IA 52411-8069
Mailing address
4608 Blarney Dr
Cedar Rapids, IA 52411-8069
Phone (319) 290-1292
Other providers in Cedar Rapids, IA
- Carecenter Pharmacy, L.L.C.
- Caregivers Iowa, Inc.
- Patricia Cargin
- Caring Counseling LLC
- Caring Heart Solutions LLC
- Destinie Carlson
- Ryan Carlson
- Terry Jo Carlson
- Carol Seehusen, PHD, LMHC, LLC
- Kevin Michael Carpenter
All providers in Cedar Rapids, IA · Community Health Worker in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.