Constance Lynn Carlson, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00017684 Issued in WA

Practice address

600 N 36TH St Ste 319
Seattle, WA 98103-8698

Phone

(206) 518-1623

NPI assigned

May 11, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Connie Carlson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249430400000",
    "number": "1932314325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 DAYTON AVE N",
            "address_2": "#101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981037745",
            "telephone_number": "206-518-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N 36TH ST STE 319",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038698",
            "telephone_number": "206-518-1623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "CONSTANCE",
        "middle_name": "LYNN",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2009-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "WA",
            "license": "MA00017684",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00017684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE, MASSAGE PRACTIT.",
            "identifier": "MA0017684",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONNIE",
            "last_name": "CARLSON",
            "credential": "LMP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Cheryl A Carlson, MD
• Chrisa Diane Carlson
• Christine Elizabeth Carlson, ARNP
• Christopher John Carlson, M.D.
• Christopher S Carlson, DDS
• Dara Delnora Carlson, ARNP
• Elizabeth Carlson, RN
• Emma Carlson, M.ED
• Erik Sean Carlson, M.D., PH.D.
• Ingrid A Carlson, MD

• Massage Therapist in Seattle, WA
• Providers in Seattle, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.

Verify at the official NPI Registry.