KELLY CARLSON (NPI# 1285187542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285187542 |
| Entity Type | Individual |
| Full Name | KELLY CARLSON |
| Other Name | KELLY EASTHAM |
| Credential | NP-C |
| Practice Address |
24 Compton Rd Ste 205 Cincinnati OH 45216-1036 |
| Mailing Address |
4116 Millsbrae Ave Cincinnati OH 45209-1643 |
| Practice Telephone | 5137612776 |
| Practice Fax Number | 5136794866 |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2018-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
3010659 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN.CNP.019496 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902304777 | Kelly R Carlson | Physical Therapist | 3365 Central Park Village Dr # 100, Eagan, MN 55121-7707 | 2018-01-26 |
| 1154661783 | Kelly Marie Carlson | Pharmacy Technician | 30 Cold Springs Road, Rockyhill, CT 06067 | 2013-02-19 |
| 1538424601 | Kelly Carlson | Internal Medicine | 7447 W Talcott Ave Ste 200, Chicago, IL 60631-3713 | 2012-07-05 |
| 1780985507 | Kelly E Carlson | Social Worker | 468 W 153rd St, 2b, New York, NY 10031-1117 | 2010-11-10 |
| 1801069786 | Kelly A. Carlson | Developmental Therapist | 1131 Maple Ln, Batavia, IL 60510-1185 | 2008-04-10 |
| 1215582283 | Kelly Marie Carlson | Speech-Language Pathologist | 100 3rd Ave S, Carrington, ND 58421-2263 | 2019-08-07 |
| 1720326408 | Kelly L Carlson | Counselor | 5500 Military Trl, #22-106, Jupiter, FL 33458-2869 | 2013-01-30 |
| 1548402654 | Kelly A. Carlson | Nurse Practitioner | 2347 Jones Bend Rd, Peninsula Hospital, Louisville, TN 37777-5213 | 2009-04-03 |
| 1952432288 | Kelly Jo Carlson | Specialist/Technologist | 27650 Ferry Rd, Warrenville, IL 60555-3845 | 2007-03-08 |
| 1083749964 | Kelly Carlson | Speech-Language Pathologist | 2795 Pilot Knob Rd, Suite 100, Eagan, MN 55121-1119 | 2007-02-22 |
| Street Address |
24 COMPTON RD STE 205 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45216-1036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770847907 | Jeffery Murphy | Family Medicine | 24 Compton Rd Ste 205, Cincinnati, OH 45216 | 2012-07-03 |
| 1265965081 | Jennifer Ledonne | Family Medicine | 24 Compton Rd Ste 205, Cincinnati, OH 45216-1036 | 2017-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568947950 | Adreannia Frazier | Licensed Practical Nurse | 1020 Elm Park Drive 2, Cincinnati, OH 45216 | 2018-10-01 |
| 1568991925 | Phadra M Gray | Registered Nurse | 6725 Lebanon St, Cincinnati, OH 45216 | 2017-06-08 |
| 1184079501 | Jessica Short | Community Health Worker | 8355 Burns Ave, Cincinnati, OH 45216 | 2016-05-04 |
| 1558768630 | Heather Kathleen Corwin | Psychologist | 400 Maple Street, Elmwood Place, OH 45216 | 2014-12-04 |
| 1932458668 | Denise Gabrielle Ditraglia | Licensed Practical Nurse | 151 West Gal Braith Rd, Drake Center/u.c. Health, Cincinnati, OH 45216 | 2012-09-10 |
| 1982978540 | Mary E Leemhuis | Physical Therapist | 151 West Galbraith Rd, Cincinnati, OH 45216 | 2012-02-29 |
| 1952601874 | Miller Holdings Takoda, Inc. | Intermediate Care Facility, Mentally Retarded | 8240 Monon Avenue, Cincinnati, OH 45216 | 2010-10-26 |
| 1386712958 | Mary Caroleen Arnold Long | Clinical Nurse Specialist | 15 W Galbraith Rd, Cincinnati, OH 45216 | 2006-12-01 |
| 1639183551 | David S Frimer | Family Medicine | 24 Compton Road, Suite 205, Cincinnati, OH 45216 | 2006-07-28 |
| 1629555073 | Living Your Best Life | Counselor | 127 Parkway Ave, Cincinnati, OH 45216 | 2018-07-27 |
| Find all providers in zip 45216 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184681 | Madison Baxter | Nurse Practitioner | 2730 Hyde Park Ave, Cincinnati, OH 45209-2004 | 2020-11-06 |
| 1225635584 | Charlene Hines | Nurse Practitioner | 495 Albion Ave, Cincinnati, OH 45246-4604 | 2020-10-08 |
| 1770199598 | Ashley Nicole Dishion | Nurse Practitioner | 3537 Greenview Way, Cincinnati, OH 45245-3367 | 2020-09-17 |
| 1023624814 | Sarah Taylor Kaiser | Nurse Practitioner | 6401 Timberhill Ct, Cincinnati, OH 45233-4576 | 2020-09-17 |
| 1881204501 | Carrie Ann Mofield | Nurse Practitioner | 3680 Jeffrey Ct, Cincinnati, OH 45236-1544 | 2020-08-06 |
| 1104452051 | Nicole Lavon-renee Campbell | Nurse Practitioner | 1130 Glenna Dr, Cincinnati, OH 45238-4338 | 2020-03-22 |
| 1487289591 | Whitney Ann Gallaher | Nurse Practitioner | 4217 Tower Ave, Cincinnati, OH 45217-4521 | 2020-03-09 |
| 1215575436 | Carol S Grimm | Nurse Practitioner | 5702 Bridgetown Rd Apt 8, Street Address 2, Cincinnati, OH 45248 | 2019-12-18 |
| 1598301756 | Danielle Miller | Nurse Practitioner | 10229 Winstead Ln, Cincinnati, OH 45231-2719 | 2019-11-22 |
| 1679124820 | Jennifer Ann Fenwick | Nurse Practitioner | 7907 Buckeye Cres, Cincinnati, OH 45243-1942 | 2019-09-27 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45216 |
Please comment or provide details below to improve the information on KELLY 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.