Active NPI
Katrina Renee Carlson, MS, MA
- School Psychologist
- Richland, WA
National Provider Identifier
1972023588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 344440C
- Practice address
- 1962 Mahan Ave
Richland, WA 99354-2121 - Phone
- (509) 967-6141
- NPI assigned
- Jun 23, 2017
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 344440C | WA | Primary |
Addresses
Primary practice location
1962 Mahan Ave
Richland, WA 99354-2121
Mailing address
1962 Mahan Ave
Richland, WA 99354-2121
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
- Master of Arts, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 344440C | WA | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498176000000",
"number": "1972023588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1962 MAHAN AVE",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993542121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1962 MAHAN AVE",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993542121",
"telephone_number": "509-967-6141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "KATRINA",
"middle_name": "RENEE",
"name_prefix": "Ms.",
"credential": "MS, MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-23",
"last_updated": "2017-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, School",
"state": "WA",
"license": "344440C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.