Active NPI
Rachel Helen Carlson, DO
- Pediatrics Physician
- Jbphh, HI
National Provider Identifier
1932733987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 34.015639
- Practice address
- 755 Scott Cir
Jbphh, HI 96853-5399 - Phone
- (808) 448-6291
- NPI assigned
- Feb 28, 2020
- Last updated
- Jul 10, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 34.015639 | OH | Primary |
Addresses
Primary practice location
755 Scott Cir
Jbphh, HI 96853-5399
Mailing address
755 Scott Cir
Jbphh, HI 96853-5399
Phone (808) 448-6291
Other practice location 1
4481 Sugar Maple Dr
Dayton, OH 45433-5536
Phone (937) 522-4784
Other practice location 2
1 Childrens Plz
Dayton, OH 45404-1873
Phone (937) 641-3433
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34.015639 | Other | OH | MEDICAL LICENSE |
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
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34.015639 | OH | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1932733987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "755 SCOTT CIR",
"city": "JBPHH",
"state": "HI",
"postal_code": "968535399",
"telephone_number": "808-448-6291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 SCOTT CIR",
"city": "JBPHH",
"state": "HI",
"postal_code": "968535399",
"telephone_number": "808-448-6291"
}
],
"practiceLocations": [
{
"address_1": "4481 Sugar Maple Dr",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454335536",
"country_code": "US",
"telephone_number": "937-522-4784",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Childrens Plz",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454041873",
"country_code": "US",
"telephone_number": "937-641-3433",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARLSON",
"first_name": "RACHEL",
"middle_name": "HELEN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-28",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "34.015639",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "34.015639",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jbphh, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.