KATRINA M CARLSON (NPI# 1740719244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740719244 |
| Entity Type | Individual |
| Full Name | KATRINA M CARLSON |
| Practice Address |
2600 N Detroit St Lagrange IN 46761-1154 |
| Mailing Address |
601 Timberlane Dr Kendallville IN 46755-2911 |
| Practice Telephone | 2604634896 |
| Mailing Telephone | 2603162553 |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2017-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 28166709A | IN | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | 71007375A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972023588 | Katrina Renee Carlson | Psychologist | 1962 Mahan Ave, Richland, WA 99354-2121 | 2017-06-23 |
| Street Address |
2600 N DETROIT ST |
| City | LAGRANGE |
| State | IN |
| Zip Code | 46761-1154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912932617 | Rhonda L Sharp | Family Medicine | 2600 N Detroit St, Lagrange, IN 46761-1154 | 2006-07-11 |
| 1124544697 | Sephora Lortie | Counselor | 2600 N Detroit St, Lagrange, IN 46761-1154 | 2017-08-16 |
| 1013308352 | Angela Mcchessney | Registered Nurse | 2600 N Detroit St, Lagrange, IN 46761-1154 | 2015-02-09 |
| 1982758140 | Sharp Medical Practice | Family Medicine | 2600 N Detroit St, Lagrange, IN 46761 | 2007-01-23 |
| 1659448975 | Booth Medical Center PC | Family Medicine | 2600 N Detroit St, Lagrange, IN 46761-1154 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962049007 | Darlene L. Schlotterback | Physical Therapist | 207 N. Townline Rd, Lagrange, IN 46761 | 2019-12-09 |
| 1083264006 | Kimberly A Hershberger | Pharmacist | 0975 N 00 Ew, Lagrange, IN 46761 | 2019-09-12 |
| 1134775554 | Kristy Jo Roth | Pharmacist | 0975n 00 Ew, Lagrange, IN 46761 | 2019-08-12 |
| 1235372277 | Lagrange Surgery Center, LLC | Clinic/Center | 2500 Ventura Way, Lagrange, IN 46761 | 2009-04-07 |
| 1568565265 | Hook Superx LLC | Pharmacy | 975n Ooew, Lagrange, IN 46761 | 2006-09-07 |
| 1558305326 | Craig L Nelson Dds Inc | Dentist | 405 Union Street, Lagrange, IN 46761 | 2006-06-15 |
| 1134184781 | Michael W Conway | Family Medicine | 207 N Townline Rd Ste 104, Lagrange, IN 46761 | 2006-04-18 |
| 1548220544 | Millard Reed Taylor | Family Medicine | 2120 N Detroit St, Lagrange, IN 46761 | 2006-03-24 |
| 1891791414 | Larry Best | Podiatrist | 400 1/2 Union Street, Lagrange, IN 46761 | 2005-06-28 |
| 1972140010 | Vickie L. Pletcher | Physical Therapy Assistant | 207 N. Townline Rd., Lagrange, IN 46761 | 2019-12-09 |
| Find all providers in zip 46761 | ||||
| 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 |
|---|---|---|---|---|
| 1255789996 | Jennifer Lovell | Nurse Practitioner | 1955 Roanoke Rd, Lagrange, GA 30240-3823 | 2016-06-02 |
| 1811133622 | Judy B. Bain | Nurse Practitioner | 104 Harwell Ave Ste 236, Lagrange, GA 30240-3132 | 2008-12-29 |
| 1245410711 | Jennifer Lee Thomas | Nurse Practitioner | 1015 New Moody Lane, Lagrange, KY 40031 | 2007-11-13 |
| 1518942135 | Marjorie R Rachide | Nurse Practitioner | 101 South Carey Street, Lagrange, NC 28551 | 2005-12-07 |
| 1306401260 | Brandon Blakely Bisso | Nurse Practitioner | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2019-05-07 |
| 1114449329 | Lauren Fiandt | Nurse Practitioner | 2500 N Detroit St, Lagrange, IN 46761-1158 | 2017-07-10 |
| 1073034500 | Amber N Handshoe | Nurse Practitioner | 2500 N Detroit St, Lagrange, IN 46761-1158 | 2017-07-06 |
| 1285162156 | Whitley Ann Harris | Nurse Practitioner | 303 Smith St, Lagrange, GA 30240-2745 | 2017-05-23 |
| 1730614934 | Leanna K Andrews | Nurse Practitioner | 303 Smith St, Lagrange, GA 30240-2745 | 2017-04-25 |
| 1558712646 | Elizabeth R. Burkhart | Nurse Practitioner | 2500 N Detroit St, Lagrange, IN 46761 | 2016-06-29 |
| Find all providers in LAGRANGE | ||||
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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.