Active NPI
Robin Renee Carlson, PAC
- Surgical Physician Assistant
- Sioux Falls, SD
National Provider Identifier
1912939653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 0602
- Practice address
- 2501 W 22ND St
Sioux Falls, SD 57117 - Phone
- (605) 336-3230
- NPI assigned
- Jul 6, 2006
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 0602 | SD | Primary |
Addresses
Primary practice location
2501 W 22ND St
Sioux Falls, SD 57117
Mailing address
320 N James Ave
Tea, SD 57064
Phone (605) 261-2328
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0602 | SD | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912939653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 N JAMES AVE",
"city": "TEA",
"state": "SD",
"postal_code": "57064",
"telephone_number": "605-261-2328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 W 22ND ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "57117",
"telephone_number": "605-336-3230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "ROBIN",
"middle_name": "RENEE",
"credential": "PAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "SD",
"license": "0602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sioux Falls, SD
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.