Carrie Rose Lucio, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

CNP 3922 Issued in MN

Practice address

807 Albert St N
Saint Paul, MN 55104-1302

Phone

(651) 373-4587

NPI assigned

Aug 25, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Carrie Rose Kullmann Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1962879916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 ALBERT ST N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551041302",
            "telephone_number": "651-373-4587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 ALBERT ST N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551041302",
            "telephone_number": "651-373-4587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCIO",
        "first_name": "CARRIE",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-25",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MN",
            "license": "CNP 3922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "KULLMANN",
            "middle_name": "ROSE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lucas Taxi LLC
• Samaree Jelea Lucas
• Steven Frank Lucas, MD
• Yashi Lucas
• Dawn Luchsinger, M.A., CCC-SLP
• Shannon Terese Lucken
• Lucky Transportation LLC
• Thomas Eugene Lucy, LICSW
• Rebecca Ludford, PA-C
• Analise Marie Smith Ludwig, AU.D.

• Adult Health Nurse Practitioner in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Adult Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; 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.