Active NPI
Ashley Carlson
- Student in an Organized Health Care Education/Training Program
- Shakopee, MN
National Provider Identifier
1952755506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 2125 Granite Dr
Shakopee, MN 55379-2978 - Phone
- (952) 693-8203
- NPI assigned
- Apr 20, 2016
- Last updated
- May 17, 2016
- 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 | MN | Primary | |
| Other Specialist/Technologist | 246Z00000X | 2255A2300X | MN |
Addresses
Primary practice location
2125 Granite Dr
Shakopee, MN 55379-2978
Mailing address
2125 Granite Dr
Shakopee, MN 55379-2978
Phone (952) 693-8203
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2255A2300X | MN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463443200000",
"number": "1952755506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2125 GRANITE DR",
"city": "SHAKOPEE",
"state": "MN",
"postal_code": "553792978",
"telephone_number": "952-693-8203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2125 GRANITE DR",
"city": "SHAKOPEE",
"state": "MN",
"postal_code": "553792978",
"telephone_number": "952-693-8203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "ASHLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-20",
"last_updated": "2016-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MN",
"license": null,
"primary": true
},
{
"code": "246Z00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other",
"state": "MN",
"license": "2255A2300X",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shakopee, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.