KATHERINE M CARLSON (NPI# 1023253069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023253069 |
| Entity Type | Individual |
| Full Name | KATHERINE M CARLSON |
| Credential | RD |
| Practice Address |
6200 Shingle Creek Pkwy Ste 300 Brooklyn Center MN 55430-2128 |
| Mailing Address |
5117 Drew Ave S Minneapolis MN 55410-2028 |
| Practice Telephone | 7637469010 |
| Practice Fax Number | 7637469022 |
| Mailing Telephone | 7637469010 |
| Mailing Fax Number | 7637469022 |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2008-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
2780 | MN | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770554115 | Katherine Lenore Carlson | Psychiatry & Neurology | 150 E 700 S, Salt Lake City, UT 84111-3806 | 2006-02-01 |
| 1083127351 | Katherine Anne Carlson | Social Worker | 4633 Aicholtz Road, Cincinnati, OH 45244 | 2017-11-09 |
| 1457898561 | Katherine Carlson | Specialist | 6838 M 93 Hwy S, Grayling, MI 49738-7766 | 2017-01-26 |
| 1851726293 | Katherine Marie Carlson | Social Worker | 7066 Stillwater Blvd N, Oakdale, MN 55128-3937 | 2013-09-04 |
| 1306123757 | Katherine I Carlson | Physician Assistant | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 | 2011-11-14 |
| 1285968982 | Katherine M Carlson | Nurse Practitioner | 1037 S State Road 7, Suite 211, Wellington, FL 33414-6138 | 2009-09-28 |
| 1588813653 | Katherine Ann Carlson | Specialist | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2008-09-15 |
| Street Address |
6200 SHINGLE CREEK PKWY STE 300 |
| City | BROOKLYN CENTER |
| State | MN |
| Zip Code | 55430-2128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255305355 | Brett W Nyholm | Internal Medicine | 6200 Shingle Creek Pkwy, Suite 250, Brooklyn Center, MN 55430-2128 | 2006-02-15 |
| 1881007110 | Mary Prescott | Nurse Practitioner | 6200 Shingle Creek Pkwy, Suite 300, Brooklyn Center, MN 55430-2128 | 2014-06-04 |
| 1619265444 | Cari A Bushey | Nurse Practitioner | 6200 Shingle Creek Pkwy, Suite 260, Brooklyn Center, MN 55430-2128 | 2011-07-14 |
| 1427285030 | Carl Dean | Internal Medicine | 6200 Shingle Creek Pkwy, Suite 250, Brooklyn Center, MN 55430-2128 | 2009-06-22 |
| 1497906242 | Zeeraq Rahmatullah | Internal Medicine | 6200 Shingle Creek Pkwy, 300, Brooklyn Center, MN 55430-2128 | 2008-10-09 |
| 1568670867 | Kyle P Onan | Internal Medicine | 6200 Shingle Creek Pkwy, Suite 250, Brooklyn Center, MN 55430-2128 | 2007-05-18 |
| 1275680407 | Jeffrey Brown, Ma, Lp | Psychologist | 6200 Shingle Creek Pkwy, Suite460-2, Brooklyn Center, MN 55430-2128 | 2007-01-03 |
| 1881754471 | Eileen O Mundenar | Physician Assistant | 6200 Shingle Creek Pkwy, Suite 300, Brooklyn Center, MN 55430-2128 | 2006-12-12 |
| 1205940798 | Marc Weber | Internal Medicine | 6200 Shingle Creek Pkwy, Suite 260, Brooklyn Center, MN 55430-2128 | 2006-08-19 |
| 1174537542 | Michelle Busch I | Nurse Practitioner | 6200 Shingle Creek Pkwy, Suite 260, Brooklyn Center, MN 55430-2128 | 2006-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396362182 | Graceland Homes | Home Health | 6843 Colfax Ave N, Brooklyn Center, MN 55430 | 2020-06-29 |
| 1912549742 | His Services Home Care, LLC | Home Health | 2108 70th Avenue North, Brooklyn Park, MN 55430 | 2019-10-14 |
| 1336612969 | Jeremiah Sk Pojah Sr. | Registered Nurse | 5201 Bryant Avenue North, Suite 108, Minneapolis, MN 55430 | 2019-01-07 |
| 1891219697 | Tamika Yvette Spicer | Home Health Aide | 6640 Humboldt Ave N, 101, Brooklyn Center, MN 55430 | 2017-08-02 |
| 1265973358 | James Contois | Community Based Residential Treatment Facility, Mental Illness | 6120 Earle Brown Drive, Suite 100, Brooklyn Center, MN 55430 | 2017-03-09 |
| 1336693746 | Sara Jean Cooper | Dentist | 1090 Shingle Creek Pkwy, Brooklyn Center, MN 55430 | 2016-08-15 |
| 1750732202 | Miriam Home Health Corporation | Residential Treatment Facility, Physical Disabilities | 7030 Humboldt Avenue North, Brooklyn Center, MN 55430 | 2016-06-27 |
| 1649628561 | Tranquility Health LLC | Community/Behavioral Health | 6040 Earle Brown Dr Ste 250, Brooklyn Center, MN 55430 | 2016-06-01 |
| 1104233790 | Lillie's Helping Hands | In Home Supportive Care | 6407 Camden Ave N, #303, Brooklyn Center, MN 55430 | 2014-07-16 |
| 1063760817 | Wal-mart Stores Inc | Technician/Technologist | 1200 Shingle Creek Crossing, Brooklyn Center, MN 55430 | 2012-08-28 |
| Find all providers in zip 55430 | ||||
| Taxonomy Code | 133VN1005X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Renal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700428497 | Ashley Herman | Dietitian, Registered | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2019-10-14 |
| City | BROOKLYN CENTER |
| Zip Code | 55430 |
Please comment or provide details below to improve the information on KATHERINE M 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.