SANDRA LEE CARLSON (NPI# 1215256953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215256953 |
| Entity Type | Individual |
| Full Name | SANDRA LEE CARLSON |
| Credential | RN, CNS |
| Practice Address |
407 E 3rd St St. Mary's Medical Center Duluth MN 55805-1950 |
| Practice Telephone | 2187864000 |
| Mailing Telephone | 2187864000 |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2010-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
R084177-7 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033321302 | Sandra Regina Carlson | Internal Medicine | 385 S Maple Ave Ste 101, Glen Rock, NJ 07452-1545 | 2007-05-07 |
| 1376612168 | Sandra Elizabeth Carlson | Counselor | 682 W Boughton Rd, Unit D, Bolingbrook, IL 60440-5700 | 2006-11-07 |
| 1457463978 | Sandra A Carlson | Social Worker | 11 Sunset Rd, Ringwood, NJ 07456 | 2006-08-31 |
| 1043850852 | Sandra M Carlson | Marriage & Family Therapist | 17800 Us Highway 18, Apple Valley, CA 92307-1221 | 2020-01-09 |
| 1922568716 | Sandra Kathleen Carlson | Student in an Organized Health Care Education/Training Program | 22 Bramhall St, Portland, ME 04102-3175 | 2019-03-20 |
| 1144726753 | Sandra Jean Carlson | Registered Nurse | 5905 O St, Lincoln, NE 68510-2235 | 2018-04-03 |
| 1952663742 | Sandra K Carlson | Specialist | 1053 Saw Mill River Rd, Ardsley, NY 10502-1048 | 2012-06-08 |
| 1063799641 | Sandra E. Carlson | Occupational Therapist | 9902 Windisch Rd, West Chester, OH 45069-3804 | 2011-11-09 |
| 1962693226 | Sandra Elizabeth Carlson | Speech-Language Pathologist | 330 Walker Ave, Wahiawa, HI 96786-1821 | 2007-08-01 |
| 1023162377 | Sandra S Carlson | Social Worker | 4119 Montrose Blvd, Suite 450, Houston, TX 77006-4963 | 2007-01-23 |
| Street Address |
407 E 3RD ST ST. MARY'S MEDICAL CENTER |
| City | DULUTH |
| State | MN |
| Zip Code | 55805-1950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841293347 | Traci A. Rogers | Nurse Practitioner | 407 E 3rd St, Essentia Health St. Mary's Medical Center, Duluth, MN 55805-1950 | 2005-05-27 |
| 1265039721 | Mark Nicholas Bloss | Occupational Therapist | 407 E 3rd St, Duluth, MN 55805-1950 | 2020-10-07 |
| 1679170278 | Paul R Jerve | Nurse Practitioner | 407 E 3rd St, Duluth, MN 55805-1950 | 2020-10-06 |
| 1487280251 | Kara Michelle Nelson | Occupational Therapist | 407 E 3rd St, Duluth, MN 55805-1950 | 2020-03-12 |
| 1114552619 | Ivy A Kuschke | Occupational Therapist | 407 E 3rd St, Duluth, MN 55805-1950 | 2020-03-05 |
| 1083246136 | Kristin L Schomburg | Nurse Anesthetist, Certified Registered | 407 E 3rd St, Duluth, MN 55805-1950 | 2020-02-06 |
| 1437707957 | Marissa L Engelson | Physician Assistant | 407 E 3rd St, Duluth, MN 55805-1950 | 2019-08-28 |
| 1255987954 | Megan Mcgovern Colborn | Nurse Practitioner | 407 E 3rd St, Duluth, MN 55805-1950 | 2019-08-18 |
| 1033764758 | Patrick E Finnegan | Occupational Therapist | 407 E 3rd St, Duluth, MN 55805-1950 | 2019-08-08 |
| 1699333658 | Olivia Ann Lambert | Speech-Language Pathologist | 407 E 3rd St, Duluth, MN 55805-1950 | 2019-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356852180 | Peace of Mind of Duluth, Inc. | Community/Behavioral Health | 1000 East 1st Street, Suite 100, Duluth, MN 55805 | 2017-10-19 |
| 1891213419 | Arielle Skalisky | Registered Nurse | 400 E. 3rd Street, Duluth, MN 55805 | 2017-09-04 |
| 1457886400 | Chefrdn, LLC | Dietitian, Registered | 1101 East 4th Street, Duluth, MN 55805 | 2017-04-27 |
| 1962811604 | Claire Elena Kap | Nurse Practitioner | Essentia Health Duluth Clnic, 400 East Third Street, Duluth, MN 55805 | 2014-08-06 |
| 1598196313 | Kelsey Lindsay Putvin | Audiologist | 400 E 3rd St., Duluth, MN 55805 | 2013-12-04 |
| 1639462997 | James F Conniff | Family Medicine | Duluth Family Medicine Clinic, 330 N Eighth Ave E, Duluth, MN 55805 | 2011-05-19 |
| 1215237433 | Bobby Jo Mineheine | Speech-Language Pathologist | 530 East Second St, Polinsky Medical Rehab Ctr, Duluth, MN 55805 | 2010-10-22 |
| 1891004248 | Robin Michelle Warfel | Occupational Therapist | 530 East 2nd Street, Polinsky Medical Rehabilitation Center, Duluth, MN 55805 | 2010-10-04 |
| 1154638716 | Jennifer Chen | Pharmacist | 420 E 1st St Mail Drop 1s3w10, Duluth, MN 55805 | 2010-09-02 |
| 1376858084 | Jennifer Lynn Howard | Pharmacist | 211 West Fourth Street, Center for American Indian Resources, Duluth, MN 55805 | 2010-08-18 |
| Find all providers in zip 55805 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053393967 | Christine M Day | Clinical Nurse Specialist | 1502 London Rd, Suite 102, Duluth, MN 55812-1788 | 2005-11-16 |
| 1043633084 | Nanyoung Park | Clinical Nurse Specialist | 3590 Peachtree Industrial Blvd, Duluth, GA 30096-4817 | 2014-01-28 |
| 1952741332 | Laura Ann Kitch | Clinical Nurse Specialist | 407 E 3rd St, Essentia Health St. Mary's Medical Center, Duluth, MN 55805-1950 | 2013-06-28 |
| 1013298231 | Ella Dohlin | Clinical Nurse Specialist | 407 E 3rd St, Duluth, MN 55805-1950 | 2011-09-01 |
| 1992099378 | Anastasia Marie Johnson | Clinical Nurse Specialist | 407 E 3rd St, Essentia Health St. Marys Medical Center, Duluth, MN 55805-1950 | 2011-06-03 |
| 1720385651 | Jean Marie Runquist | Clinical Nurse Specialist | 407 E 3rd St, Essentia Health St. Mary's Medical Center, Duluth, MN 55805-1950 | 2011-02-11 |
| 1831495365 | Diane Beth Roach | Clinical Nurse Specialist | 400 E 3rd St, Essentia Health St. Mary's Medical Center, Duluth, MN 55805-1951 | 2011-02-01 |
| 1841595568 | Julie Ann Shelton | Clinical Nurse Specialist | 407 E 3rd St, St. Mary's Medical Center, Duluth, MN 55805-1950 | 2011-01-12 |
| 1679876080 | Tracy Flynn Udeen | Clinical Nurse Specialist | 400 East Third Street, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2010-12-08 |
| 1437479003 | Anna Marie Bird | Clinical Nurse Specialist | 400 E 3rd St, Duluth Clinic, Duluth, MN 55805-1951 | 2010-06-07 |
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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.