JESSICA A. CARLSON (NPI# 1265685432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265685432 |
| Entity Type | Individual |
| Full Name | JESSICA A. CARLSON |
| Credential | MD |
| Practice Address |
515 E Broadway Ave Bismarck ND 58501-4407 |
| Mailing Address |
515 E Broadway Avenue Bismarck ND 58501-4491 |
| Practice Telephone | 7017519500 |
| Practice Fax Number | 7017519508 |
| Mailing Telephone | 7017519500 |
| Mailing Fax Number | 7017519508 |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2011-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | TRL 11042 | ND | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 12083 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386959153 | Jessica Lynne Carlson | Occupational Therapist | 475 E Waterfront Dr, Homestead, PA 15120-1144 | 2010-08-17 |
| 1942533146 | Jessica C Carlson | Counselor | 75 Central Ave, Lewiston, ME 04240-6031 | 2009-09-08 |
| 1811199649 | Jessica Ann Carlson | Counselor | 1073 Willa Springs Dr, Suite 1041, Winter Springs, FL 32708-6623 | 2007-06-04 |
| 1558330852 | Jessica Lorraine Carlson | Internal Medicine | 920 East 28th Street Suite # 190, Minneapolis, MN 55407 | 2006-03-17 |
| 1255893459 | Jessica Carlson | Counselor | 5648 Friendship Ave, Pittsburgh, PA 15206-3610 | 2019-04-05 |
| 1861910457 | Jessica Carlson | Nurse Anesthetist, Certified Registered | 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 | 2017-09-02 |
| 1700123213 | Jessica Carlson | Physical Therapist | 1952 E 7000 S, Salt Lake City, UT 84121-6877 | 2013-01-04 |
| 1659615086 | Jessica Ann Carlson | Pharmacist | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2012-11-26 |
| 1043563638 | Jessica T Carlson | Nurse Practitioner | 19343 Sunshine Ave, Covington, LA 70433-8834 | 2012-10-19 |
| 1487940318 | Jessica R Carlson | Surgery | 94220 4th St, Gold Beach, OR 97444-7756 | 2011-06-20 |
| Street Address |
515 E BROADWAY AVE |
| City | BISMARCK |
| State | ND |
| Zip Code | 58501-4407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073719399 | Jennifer Amber Beckwith | Family Medicine | 515 E Broadway Ave, Bismarck, ND 58501-4407 | 2007-06-24 |
| 1104307362 | Brandi Jo Schmidt | Counselor | 515 E Broadway Ave, Bismarck, ND 58501-4407 | 2018-08-27 |
| 1114461340 | Connie Jo Kadrmas | Nurse Practitioner | 515 E Broadway Ave, Bismarck, ND 58501 | 2016-12-07 |
| 1922485531 | Daniel Field | Internal Medicine | 515 E Broadway Ave, Bismarck, ND 58501-4407 | 2015-05-04 |
| 1720413966 | Erin M Schwinkendorf | Nurse Practitioner | 515 E Broadway Ave, Bismarck, ND 58501-4407 | 2013-09-06 |
| 1215248547 | Sally Gean Frank | Nurse Practitioner | 515 E Broadway Ave, Bismarck, ND 58501-4407 | 2010-07-01 |
| 1740501386 | Dara Schroeder | Nurse Practitioner | 515 E Broadway Ave, Bismarck, ND 58501-4407 | 2010-06-17 |
| 1659550549 | Ravi Kukreja | Family Medicine | 515 E Broadway Ave, Bismarck, ND 58501-4491 | 2007-10-29 |
| 1164601050 | Richa Kauskik | Family Medicine | 515 E Broadway Ave, Bismarck, ND 58501-4491 | 2007-10-29 |
| 1649469255 | University of North Dakota | Clinic/Center | 515 E Broadway Ave, Bismarck, ND 58501-4407 | 2007-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811500911 | Sonja Lee Bosch | Counselor | 101 E. Broadway Ave Heartview Foundation, Bismarck, ND 58501 | 2020-08-28 |
| 1649740630 | Stephanie Marie Simburger | Social Worker | 3111 East Broadway Ave, Bismarck, ND 58501 | 2018-12-03 |
| 1679042519 | Prairie Rose Family Dentists | Dentist | 1110 College Dr., Suite 110, Bismark, ND 58501 | 2018-11-21 |
| 1386111276 | Arielle Joy Flynn | Genetic Counselor, MS | 414 N Seventh Street, Bismarck, ND 58501 | 2018-10-29 |
| 1164901799 | Karalee Joy Harper | Counselor | 101 E. Broadway Ave, Bismarck, ND 58501 | 2018-08-14 |
| 1518457811 | Myckenzie Saari | Behavior Technician | 1929 N Washington St., Bismarck, ND 58501 | 2018-05-14 |
| 1831687532 | Jacquelyn Mahoney | Behavioral Analyst | 604 North Ave, Bismarck, ND 58501 | 2018-04-27 |
| 1710403811 | Kayla Marie Watson | Behavior Technician | 1500 E. Capitol Ave, Suite 200, Bismarck, ND 58501 | 2017-08-21 |
| 1306368220 | Scott Vandyke | Occupational Therapist | 300 N. 7th St, Bismarck, ND 58501 | 2017-07-12 |
| 1144670019 | Bismarck Psychological Associates, Pllc | Psychologist | 107 W. Main Ave., Suite 225, Bismarck, ND 58501 | 2016-06-21 |
| Find all providers in zip 58501 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508241183 | Edith Wong | Family Medicine | 701 E Rosser Ave., Bismarck, ND 58501-4461 | 2015-07-24 |
| 1083942304 | Linda P Svec | Family Medicine | 2900 E Broadway Ave Ste 1, Bismarck, ND 58501-5184 | 2009-11-24 |
| 1891951992 | Natalia Brown | Family Medicine | 515 E. Broadway Ave., Bismarck, ND 58501-4491 | 2008-07-29 |
| 1457517542 | Joy Ann Froelich | Family Medicine | 4535 Northern Sky Drive, Bismarck, ND 58503 | 2008-07-29 |
| 1588826747 | Herbert J. Wilson | Family Medicine | 1244 W Coulee Rd, Bismarck, ND 58501-1245 | 2008-06-30 |
| 1629230081 | Ryan Clauson | Family Medicine | 2700 State St Ste 1, Bismarck, ND 58503-0669 | 2008-06-26 |
| 1073719399 | Jennifer Amber Beckwith | Family Medicine | 515 E Broadway Ave, Bismarck, ND 58501-4407 | 2007-06-24 |
| 1134251044 | Darren Duane Carter | Family Medicine | 411 N 4th St, Suite 5, Bismarck, ND 58501-4078 | 2007-03-09 |
| 1881739977 | Medcenter One Inc | Family Medicine | 1040 Tacoma Ave, Bismarck, ND 58504 | 2007-02-20 |
| 1326103920 | Medcenter One Inc | Family Medicine | 3318 N. 14th St, Bismarck, ND 58503 | 2006-12-26 |
| Find all providers in BISMARCK | ||||
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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.