Tana Denise Carlson, PCA

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

1125 6TH Street SE
Woodland Centers
Willmar, MN 56201-4675

Phone

(320) 231-9148

Fax

(320) 231-9140

NPI assigned

Dec 11, 2006

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871653535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 15TH AVE SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "56201",
            "telephone_number": "320-235-4613",
            "fax_number": "320-231-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 6TH STREET SE",
            "address_2": "WOODLAND CENTERS",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562014675",
            "telephone_number": "320-231-9148",
            "fax_number": "320-231-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "TANA",
        "middle_name": "DENISE",
        "credential": "PCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia A Butler, LICSW/LMFT
• C.a.R.E.-Willmar
• Lee L. Cafferty, MD
• Samuel T. Camp, MD
• Ca Cao
• Carris Health LLC
• Carris Health LLC
• Carris Health LLC
• Carris Health LLC
• Carris Health LLC

• All providers in Willmar, MN
• Personal Care Attendant in Minnesota

• 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.

Verify at the official NPI Registry.