Active NPI
Barbara Catherine-Hall Carlson, MA
- Speech-Language Pathologist
- Grand Forks, ND
National Provider Identifier
1821144890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 151
- Practice address
- 2400 47TH Ave S
Grand Forks, ND 58201-3405 - Phone
- (701) 746-2230
- NPI assigned
- Jan 25, 2007
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 151 | ND | Primary |
Addresses
Primary practice location
2400 47TH Ave S
Grand Forks, ND 58201-3405
Mailing address
4675 Wheatland Cir
Grand Forks, ND 58201-7900
Phone (701) 775-6529
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 58733 | Medicaid | ND |
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 151 | ND | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821144890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4675 WHEATLAND CIR",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582017900",
"telephone_number": "701-775-6529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 47TH AVE S",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582013405",
"telephone_number": "701-746-2230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "BARBARA",
"middle_name": "CATHERINE-HALL",
"name_prefix": "Mrs.",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ND",
"license": "151",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "58733",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grand Forks, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.