ANDREW CARLSON (NPI# 1972957843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972957843 |
| Entity Type | Individual |
| Full Name | ANDREW CARLSON |
| Credential | LAT, ATC |
| Practice Address |
2301 25th St S Fargo ND 58103 |
| Mailing Address |
1920 21st Ave S Apt 308 Fargo ND 58103 |
| Practice Telephone | 7014176000 |
| Mailing Telephone | 7013171473 |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2016-04-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
536-14 | ND | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750649885 | Andrew Clifford Carlson II | Radiologic Technologist | 2000 Via Royale Apt 2004, Jupiter, FL 33458-7084 | 2012-04-26 |
| 1518297928 | Andrew J Carlson | Specialist/Technologist | 601 Perimeter Dr Ste 100, Lexington, KY 40517-4121 | 2010-01-07 |
| 1588879464 | Andrew Charles Carlson | Counselor | 340 Main St Ste 383, Worcester, MA 01608-1694 | 2007-05-13 |
| 1922059252 | Andrew Charles Carlson | Pediatrics | 116 W Church St, Americus, GA 31709-3508 | 2006-05-12 |
| 1427673417 | Andrew Thomas Carlson | Pharmacist | 3901 Beaubien St Rm 108, Detroit, MI 48201-2119 | 2020-06-15 |
| 1396263885 | Andrew Carlson | Physical Therapist | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 | 2017-09-05 |
| 1730537119 | Andrew Carlson | Physical Therapist | 2191 Nw 2nd St Bldg 4, Mcminnville, OR 97128-9106 | 2016-05-26 |
| 1932481983 | Andrew Kenneth Carlson | Physical Therapist | 24630 Sandhill Blvd, Unit 303, Punta Gorda, FL 33983-5229 | 2011-09-15 |
| 1659663185 | Andrew Carlson | Nurse Anesthetist, Certified Registered | 3610 Richmond Cir, Grand Island, NE 68803-3927 | 2011-05-02 |
| 1811036825 | Andrew Phillip Carlson | Neurological Surgery | 1 University of New Mexico, Msc 10 5615 (department of Neurosurgery), Albuquerque, NM 87131-0001 | 2007-02-06 |
| Street Address |
2301 25TH ST S |
| City | FARGO |
| State | ND |
| Zip Code | 58103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215917992 | Arezoo Taheri | Internal Medicine | 2301 25th St S, Ste I, Fargo, ND 58103 | 2006-01-19 |
| 1437786860 | Derek Weninger | Physician Assistant | 2301 25th St S, Fargo, ND 58103-6104 | 2020-03-25 |
| 1578196853 | Jade Storley | Physician Assistant | 2301 25th St S, Fargo, ND 58103-6104 | 2020-02-14 |
| 1881225837 | Whitney Marie Krabbenhoft | Physician Assistant | 2301 25th St S, Fargo, ND 58103-6104 | 2020-01-29 |
| 1477113439 | Matthew Philip Mcmanus | Specialist/Technologist | 2301 25th St S, Fargo, ND 58103-6104 | 2019-06-20 |
| 1467938886 | Cassandra Staber | Physician Assistant | 2301 25th St S, Fargo, ND 58103-6104 | 2018-07-18 |
| 1194201624 | Alec Michelle Aman | Physical Therapist | 2301 25th St S, Fargo, ND 58103-6104 | 2018-07-18 |
| 1639679624 | Andrew Macgregor | Physician Assistant | 2301 25th St S, Fargo, ND 58103-6104 | 2018-02-15 |
| 1851890396 | Jordan Iverson | Physician Assistant | 2301 25th St S, Fargo, ND 58103-6104 | 2018-02-11 |
| 1740789726 | Melisha Ann Vannett | Nurse Practitioner | 2301 25th St S, Fargo, ND 58103-6104 | 2018-02-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
| Find all providers in zip 58103 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225640170 | Jordan Chase Elliott | Specialist/Technologist | 1800 University Dr N, Fargo, ND 58102-2241 | 2020-08-21 |
| 1235769712 | Kathleen Freebern | Specialist/Technologist | 4780 Timber Pkwy S Apt 103, Fargo, ND 58104-4837 | 2020-01-23 |
| 1245793330 | Mara Jungels | Specialist/Technologist | 1837 University Dr N, Fargo, ND 58105-2504 | 2019-04-07 |
| 1215493374 | Kayla Marie Hennum | Specialist/Technologist | 1225 2nd St N, Fargo, ND 58102-2722 | 2019-02-13 |
| 1740745405 | Anna Marie St Catherine | Specialist/Technologist | 1709 35th St S Apt 416, Fargo, ND 58103-4883 | 2019-02-07 |
| 1417411380 | Tara Dawn Gebur | Specialist/Technologist | 3200 22nd St S Apt C42, Fargo, ND 58104-6570 | 2019-01-24 |
| 1427522754 | Dana Vander Wal | Specialist/Technologist | 315 30th Ave N Apt 16, Fargo, ND 58102-1567 | 2019-01-21 |
| 1912471210 | Kaitlyn Dorsher | Specialist/Technologist | 1113 18th St N Apt C, Fargo, ND 58102-3306 | 2019-01-20 |
| 1124523576 | Christopher Peroutka | Specialist/Technologist | 1300 17th Ave N, Fargo, ND 58102 | 2018-03-28 |
| 1205331873 | Nathan Koens | Specialist/Technologist | 1300 17th Avenue North, Fargo, ND 58102 | 2018-03-27 |
| Find all providers in FARGO | ||||
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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.