Jennifer L Carlson, RN

Key facts

NPI

1992613079

Entity type

Individual (NPI type 1)

Primary specialty

Critical Care Medicine Registered Nurse 163WC0200X

License

041319722 (IL)

Practice address

25 N Winfield Rd
Winfield, IL 60190-1379

Phone

(630) 664-9861

NPI assigned

Aug 31, 2026

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 31, 2026.

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1992613079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8S603 BERGMAN DR",
            "city": "BIG ROCK",
            "state": "IL",
            "postal_code": "605119725",
            "telephone_number": "630-664-9861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N WINFIELD RD",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601901379",
            "telephone_number": "630-664-9861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "IL",
            "license": "041319722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winfield, IL

• Roxann Camparone, LCSW
• Angela Campbell
• James J. Cannon, M.D.
• Antonietta Caporale
• Lauren Carlos, M.D.
• Tracy Lynne Carlson, PT
• James R Carroll, M.D.
• Joellen Carroll, APRN, CRNA
• Meta Carroll, MD
• April Caruso, APN

All providers in Winfield, IL · Critical Care Medicine Registered Nurse in Illinois