MR. GARY CARLSON (NPI# 1508318403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508318403 |
| Entity Type | Individual |
| Full Name | MR. GARY CARLSON |
| Credential | REGISTERED INTERN |
| Practice Address |
10770 N 46th St Tampa FL 33617-3442 |
| Practice Telephone | 8136312588 |
| Mailing Telephone | 8136312588 |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2016-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
IMH 14421 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | STATE OF FLORIDA | IMH 14421 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770545709 | Gary R Carlson | Family Medicine | 2833 Chicago Ave. South, Minneapolis, MN 55407-3799 | 2006-04-05 |
| 1376609412 | Gary Leroy Carlson | Dentist | 17809 Hutchins Dr, Ste 101, Minnetonka, MN 55345-4100 | 2006-12-30 |
| 1013018217 | Gary S Carlson | Physical Therapist | 2125 Northpoint Blvd, Hixson, TN 37343-4072 | 2006-09-26 |
| 1497700116 | Gary Carlson | Internal Medicine | 520 Superior Ave, Suite 220, Newport Beach, CA 92663-3637 | 2006-05-23 |
| 1144280181 | Gary Roy Carlson | Specialist | 1240 S Westlake Blvd, Suite 205, Westlake Village, CA 91361-1929 | 2006-03-24 |
| 1487621876 | Gary J. Carlson | Pathology | 6401 France Ave S, Edina, MN 55435-2104 | 2006-03-03 |
| 1912989864 | Gary L Carlson | Otolaryngology | 2805 5th St, Suite 100, Rapid City, SD 57701-6003 | 2005-11-16 |
| Street Address |
10770 N 46TH ST |
| City | TAMPA |
| State | FL |
| Zip Code | 33617-3442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013979160 | Frank Andrew Kozel | Psychiatry & Neurology | 10770 N 46th St, Bld. E, Tampa, FL 33617-3442 | 2006-04-04 |
| 1538726468 | Paul Krabill | Optometrist | 10770 N 46th St, Tampa, FL 33617-3442 | 2019-05-27 |
| 1669967980 | Ashley Marie Mitchell | Student in an Organized Health Care Education/Training Program | 10770 N 46th St, Tampa, FL 33617-3442 | 2018-06-28 |
| 1154863967 | Patrick Belsan | Social Worker | 10770 N 46th St, Suite C-100, Tampa, FL 33617-3442 | 2016-11-10 |
| 1720486970 | Tampa Vamc | Clinic/Center | 10770 N 46th St, Suite 100, Tampa, FL 33617-3442 | 2014-12-19 |
| 1972908226 | Shenita Melvin | Counselor | 10770 N 46th St, Tampa, FL 33617-3442 | 2014-10-29 |
| 1043611817 | Pamela Bastiano | Counselor | 10770 N 46th St, Tampa, FL 33617-3442 | 2014-09-11 |
| 1083044002 | Karen Lynn Kelly | Registered Nurse | 10770 N 46th St, Tampa, FL 33617-3442 | 2013-11-13 |
| 1043655442 | Mark A Elliott | Case Manager/Care Coordinator | 10770 N 46th St, Suite A - 400, Tampa, FL 33617-3442 | 2013-04-30 |
| 1760731491 | Alyssa D Milton | Counselor | 10770 N 46th St, Tampa, FL 33617-3442 | 2012-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285253195 | Kare Medical Equipment Inc. | Durable Medical Equipment & Medical Supplies | 7860 North 56th Street, Tampa, FL 33617 | 2020-04-10 |
| 1942840467 | Care Medrx LLC | Pharmacy | 311 Bullard Pkwy Ste. B, Temple Terrace, FL 33617 | 2020-01-13 |
| 1467004804 | Favorite Care Services, LLC | In Home Supportive Care | 7628 N 56th St Ste 2, Tampa, FL 33617 | 2019-07-16 |
| 1982265625 | Promise Home Care Agency LLC | In Home Supportive Care | 315 Bahamas Ave, Tampa, FL 33617 | 2019-06-24 |
| 1164912754 | Superior Physician Group | Pain Medicine | 10730 N 56th St Ste 209, Temple Terrace, FL 33617 | 2018-05-18 |
| 1346738796 | Advanced Pain Management and Anesthesiology | Clinic/Center | 4209 E. Busch Blvd, Tampa, FL 33617 | 2018-05-01 |
| 1184112427 | Imperial Connections Support Programs, LLC | In Home Supportive Care | 9806 N Connechusett Rd, Tampa, FL 33617 | 2018-04-23 |
| 1609394204 | Erin E Sleeper | Behavior Technician | 418 Belle Claire Ave, Temple Terrace, FL 33617 | 2017-09-03 |
| 1720504293 | Robin A Kelly | Nurse's Aide | 7523 Pitch Pine Circle, Apt B, Tampa, FL 33617 | 2017-08-16 |
| 1174046023 | Rishita Amish Patel | Pharmacist | 532 Heritage Brook Cir, Apt #101, Temple Terrace, FL 33617 | 2017-07-24 |
| Find all providers in zip 33617 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316546146 | Rebecca M Slack | Counselor | 4422 E Columbus Dr Fl 33605, Tampa, FL 33605-3233 | 2020-10-22 |
| 1003415852 | Betsy Rose Rodriguez | Counselor | 1101 E Cumberland Ave # 201h-132, Tampa, FL 33602-4231 | 2020-10-22 |
| 1124626155 | Laverne Brown | Counselor | 10964 Brightside Dr, Tampa, FL 33624-7007 | 2020-10-12 |
| 1639786064 | Brittany Richardson Smiley | Counselor | 1610 E Osborne Ave, Tampa, FL 33610-6045 | 2020-09-29 |
| 1356957492 | Latoya K Claxton | Counselor | 17106 Carrington Park Dr Apt 601, Tampa, FL 33647-2627 | 2020-09-22 |
| 1679188718 | Jessica Marie Graham | Counselor | 3038 W Bearss Ave, Tampa, FL 33618-1811 | 2020-09-15 |
| 1952915795 | Kathy Thompson | Counselor | 4115 W Spruce St Ste 205, Tampa, FL 33607-2485 | 2020-08-31 |
| 1467066233 | Samantha Tubbs-crews, Lmhc | Counselor | 1211 N West Shore Blvd Ste 100, Tampa, FL 33607-4601 | 2020-08-31 |
| 1699388744 | R.e.s.e.t. Counseling Services LLC | Counselor | 1806 E Hanna Ave, Tampa, FL 33610-3543 | 2020-08-28 |
| 1700401056 | Jamie Tyus | Counselor | 3825 Henderson Blvd Ste 404, Tampa, FL 33629-5012 | 2020-06-12 |
| Find all providers in TAMPA | ||||
Please comment or provide details below to improve the information on MR. GARY CARLSON.
| 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.