NICOLE W CARLSON (NPI# 1013161173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013161173 |
| Entity Type | Individual |
| Full Name | NICOLE W CARLSON |
| Credential | RN, CPNP |
| Practice Address |
5839 S Maryland Ave Mc 5044 Chicago IL 60637-1463 |
| Practice Telephone | 7737022186 |
| Mailing Telephone | 7737022186 |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2008-11-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
209004914 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669037800 | Nicole Carlson | Registered Nurse | 87-157 Manuulaula St, Waianae, HI 96792-3241 | 2019-05-02 |
| 1568828408 | Nicole Carlson | Counselor | 1246 Yorkshire Rd, Grosse Pointe Park, MI 48230-1106 | 2016-01-07 |
| 1699089276 | Nicole Lynn Carlson | Speech-Language Pathologist | 9594 Lee Pl, Crown Point, IN 46307-7458 | 2010-08-05 |
| 1700820883 | Nicole Anne Bemmels Carlson | Physician Assistant | 6500 Excelsior, Park Nicollet Heart and Vascular Center, St. Luois Park, MN 55426 | 2006-06-16 |
| 1427556240 | Nicole Carlson | Social Worker | 1828 E Florence Blvd Ste 143, Casa Grande, AZ 85122-4783 | 2018-01-26 |
| 1538685706 | Nicole Lynsey Carlson | Physical Therapist | 320 Coon Rapids Blvd Nw Ste 100, Coon Rapids, MN 55433-5640 | 2017-08-18 |
| 1255521928 | Nicole Smith Carlson | Advanced Practice Midwife | 980 Johnson Ferry Rd Ne, Suite 620, Atlanta, GA 30342-1626 | 2007-07-30 |
| 1912987124 | Nicole Lynn Carlson | Obstetrics & Gynecology | 26 Nesbitt Rd, Suite 102, New Castle, PA 16105 | 2006-01-23 |
| Street Address |
5839 S MARYLAND AVE MC 5044 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637-1463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407897887 | Rachel K Wolfson | Pediatrics | 5839 S Maryland Ave, Mc 4064, Chicago, IL 60637-1463 | 2006-06-09 |
| 1417226952 | Andrea Yan-sin Lo | Surgery | 5839 S Maryland Ave, Wp C-411 / Mc 4062, Chicago, IL 60637-1463 | 2011-12-28 |
| 1831335850 | Claudine Geronimo Sinsioco | Psychiatry & Neurology | 5839 S Maryland Ave, Mc 3055, Chicago, IL 60637-1463 | 2008-12-22 |
| 1225292402 | Siri Atma W Greeley | Pediatrics | 5839 S Maryland Ave, Mc5053, Chicago, IL 60637-1463 | 2008-07-16 |
| 1376717900 | Brian Dominic Bordini | Pediatrics | 5839 S Maryland Ave, Chicago, IL 60637-1463 | 2008-04-15 |
| 1831391754 | Hilary Rachel Jericho | Pediatrics | 5839 S Maryland Ave, Chicago, IL 60637-1463 | 2007-06-04 |
| 1669522603 | Ranjana R Gokhale | Pediatrics | 5839 S Maryland Ave, Mc 4065, Chicago, IL 60637-1447 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
| 1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
| 1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
| 1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
| 1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
| 1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
| 1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
| 1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
| 1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
| 1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
| Find all providers in zip 60637 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669937231 | Colleen Ann Larkin | Nurse Practitioner | 10939 S Troy St, Chicago, IL 60655-2211 | 2019-02-07 |
| 1487160586 | Meghan Doepke Sullivan | Nurse Practitioner | 1030 N Clark St Ste 400, Chicago, IL 60610-5468 | 2017-12-27 |
| 1366955940 | Debra Chana Goldstein | Nurse Practitioner | 2732 W Chase Ave, Chicago, IL 60645-1313 | 2017-11-06 |
| 1588189260 | Larissa Marie Schulze | Nurse Practitioner | 737 N Michigan Ave Ste 820, Chicago, IL 60611-6659 | 2017-08-03 |
| 1164887295 | Meredith Murphy Mcintee | Nurse Practitioner | 5841 S Maryland Ave # Mc4065, Chicago, IL 60637-1443 | 2015-12-16 |
| 1215345442 | Tara Seider | Nurse Practitioner | 2707 W Ainslie St, Unit #3, Chicago, IL 60625-2715 | 2014-07-31 |
| 1447697982 | Emily Thurn | Nurse Practitioner | 225 E Chicago Ave Box 29, Chicago, IL 60611-2605 | 2013-05-23 |
| 1518231505 | Julianne Deschler Bertalmio | Nurse Practitioner | 1460 N. Halsted Street, Suite 402, Chicago, IL 60642 | 2012-03-08 |
| 1932478765 | Julie Elizabeth Martin | Nurse Practitioner | 225 E Chicago, 4 Ne, Chicago, IL 60611-2605 | 2011-12-22 |
| 1245532480 | Alexandra Wilson Benz | Nurse Practitioner | 225 E Chicago Ave # 93, Chicago, IL 60611-2991 | 2010-11-20 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.