CAROLINE A CARLSON (NPI# 1144304775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144304775 |
| Entity Type | Individual |
| Full Name | CAROLINE A CARLSON |
| Other Name | CARLSON WILLIS |
| Credential | ARNP |
| Practice Address |
1901 S Cedar St Tacoma WA 98405-2308 |
| Practice Telephone | 2533186233 |
| Mailing Telephone | 2533186233 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2015-12-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | AP30006751 | WA | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | AP30006751 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | STATE L&I | 0214420 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023598703 | Caroline Goforth Carlson | Physical Therapist | 500 E Rhode Island Ave, Southern Pines, NC 28387-4010 | 2018-08-21 |
| 1700234655 | Caroline Berry Carlson | Physician Assistant | 1525 W 2100 S, Salt Lake City, UT 84119-1407 | 2016-06-01 |
| Street Address |
1901 S CEDAR ST |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-2308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790789626 | Jerome Lee | Dentist | 1901 S Cedar St, Ste 106, Tacoma, WA 98405-2302 | 2005-06-09 |
| 1427574953 | Vanessa Thompson | Physical Therapist | 1901 S Cedar St, Tacoma, WA 98405-2308 | 2017-08-16 |
| 1316376569 | Dayna Rae Briggs | Physical Therapist | 1901 S Cedar St, Suite B-1, Tacoma, WA 98405-2308 | 2013-11-08 |
| 1588096127 | Ming Chi Hsiao | Nurse Practitioner | 1901 S Cedar St, Suite 301, Tacoma, WA 98405-2308 | 2013-08-06 |
| 1750726659 | Karen Marie Kwasny | Physical Therapist | 1901 S Cedar St, B-1, Tacoma, WA 98405-2308 | 2013-05-06 |
| 1982968053 | Integrated Rehabilitation Group, PC | Clinic/Center | 1901 S Cedar St, B-1, Tacoma, WA 98405-2308 | 2012-07-03 |
| 1104184811 | Integrated Rehab Group Limited Partnership | Physical Therapist | 1901 S Cedar St, #b-1, Tacoma, WA 98405-2308 | 2012-05-01 |
| 1417225970 | Star Pt, Limited Partnership | Physical Therapist | 1901 S Cedar St, Suite B1, Tacoma, WA 98405-2308 | 2011-12-12 |
| 1619258415 | Robert E Ettlinger Md Ps | Internal Medicine | 1901 S Cedar St, Suite 108, Tacoma, WA 98405-2395 | 2011-09-07 |
| 1134459670 | Zaleh Parham | Nurse Practitioner | 1901 S Cedar St, Ste 108, Tacoma, WA 98405-2302 | 2010-01-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063045219 | Jordyn Kayte Sandberg | Nurse Practitioner | 112 S 8th St, Tacoma, WA 98402-5284 | 2020-02-17 |
| 1679129431 | Meridith Margaret Hallowell | Nurse Practitioner | 1201 Pacific Ave # 1950, Tacoma, WA 98402-4301 | 2019-08-16 |
| 1669993127 | Tara Lynn Tschampel | Nurse Practitioner | 3124 S. 19th St, Suite 240, Allenmore Medical Center Building C, Tacoma, WA 98405 | 2017-07-05 |
| 1841659109 | Shamay Thomas | Nurse Practitioner | 616 N Junett St, Tacoma, WA 98406-6724 | 2016-02-15 |
| 1619261617 | Mitzi M Wright | Nurse Practitioner | 1901 S Cedar St Ste 201, Tacoma, WA 98405 | 2011-06-07 |
| 1699085308 | Leslie Casias | Nurse Practitioner | 5006 Center St, Tacoma, WA 98409 | 2010-10-15 |
| 1952551251 | Janel M Drugge | Nurse Practitioner | 316 Mlk Jr Way, #212, Tacoma, WA 98405 | 2008-09-23 |
| 1598964470 | Hardtke's House Calls, LLC | Nurse Practitioner | 1540 Ventura Dr, Tacoma, WA 98465 | 2007-07-12 |
| 1497978811 | Annette Marie Gagnon | Nurse Practitioner | 514 S 13th St, Tacoma, WA 98402-1908 | 2007-04-11 |
| 1144300989 | Advanced Womens Health | Nurse Practitioner | 2102 No Pearl, Ste 405, Tacoma, WA 98406 | 2006-10-16 |
| Find all providers in TACOMA | ||||
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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.