Active NPI
Carrie Ann Nelson, R.N.
- Registered Nurse
- Duluth, MN
National Provider Identifier
1871727263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN-R 151799-0
- Practice address
- 728 Garfield Ave
Duluth, MN 55802-2634 - Phone
- (218) 722-8180
- Fax
- (218) 727-9555
- NPI assigned
- May 13, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN-R 151799-0 | MN | Primary |
Addresses
Primary practice location
728 Garfield Ave
Duluth, MN 55802-2634
Mailing address
1104 N 16TH St
Superior, WI 54880-2827
Phone (218) 590-1655
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN-R 151799-0 | MN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duluth Regional Care Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Intellectual Disabilities Intermediate Care Facility
- Duluth, MN
- NPI 1326109174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242172800000",
"number": "1871727263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1104 N 16TH ST",
"city": "SUPERIOR",
"state": "WI",
"postal_code": "548802827",
"telephone_number": "218-590-1655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "728 GARFIELD AVE",
"city": "DULUTH",
"state": "MN",
"postal_code": "558022634",
"telephone_number": "218-722-8180",
"fax_number": "218-727-9555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "CARRIE",
"middle_name": "ANN",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-13",
"last_updated": "2009-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "RN-R 151799-0",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.