KELLY JEAN STAUSS CARLSON (NPI# 1306126255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306126255 |
| Entity Type | Individual |
| Full Name | KELLY JEAN STAUSS CARLSON |
| Credential | NP-C |
| Practice Address |
1000 South Columbia Road Grand Forks ND 58206-6002 |
| Mailing Address |
Po Box 6002 Grand Forks ND 58206-6002 |
| Practice Telephone | 7017805000 |
| Practice Fax Number | 7012352099 |
| Mailing Telephone | 7017805000 |
| Mailing Fax Number | 7012352099 |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2012-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R28140 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1000 SOUTH COLUMBIA ROAD |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58206-6002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366439994 | Darrell Eugene Zeller | Obstetrics & Gynecology | 1000 South Columbia Road, Grand Forks, ND 58206-6002 | 2005-09-29 |
| 1083163331 | Robert Luke Sorvig | Pharmacist | 1000 South Columbia Road, Grand Forks, ND 58206-6002 | 2016-09-28 |
| 1144618810 | Sarah Ann Gabert | Pharmacist | 1000 South Columbia Road, Grand Forks, ND 58201 | 2015-01-05 |
| 1053709725 | Max Whitney Stork | Pharmacist | 1000 South Columbia Road, Grand Forks, ND 58201 | 2015-01-05 |
| 1396133062 | Lisa Lehn Durick | Pharmacist | 1000 South Columbia Road, Grand Forks, ND 58201 | 2015-01-05 |
| 1588052252 | Kevin Keith Kern | Pharmacist | 1000 South Columbia Road, Grand Forks, ND 58201 | 2015-01-05 |
| 1205224979 | Brandon M Hallquist | Pharmacist | 1000 South Columbia Road, Grand Forks, ND 58201 | 2015-01-05 |
| 1730587312 | Jesse Lee Lunde | Pharmacist | 1000 South Columbia Road, Grand Forks, ND 58201 | 2014-12-12 |
| 1558769133 | Brooke Melicher Hanson | Pharmacist | 1000 South Columbia Road, Grand Forks, ND 58201 | 2014-12-12 |
| 1275931859 | Michael Douglas Meier | Pharmacist | 1000 South Columbia Road, Grand Forks, ND 58201 | 2014-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619283298 | Brandi Jo Miller | Physical Therapist | 1000 S Columbia Rd, Grand Forks, ND 58206 | 2010-08-20 |
| 1659569200 | Janet Lee | Neurological Surgery | 1300 S Columbia Rd, Grand Forks, ND 58206 | 2007-10-09 |
| 1831389857 | Genevieve Marie Ziegler | Occupational Therapist | 1000 S Columbia Rd, Grand Forks, ND 58206 | 2007-07-26 |
| 1033493473 | Cheri Langei | Social Worker | 151 S. 4th St, Suite 201, Grand Forks, ND 58206-5196 | 2011-10-04 |
| 1255647657 | Todd James Galbreath | Pharmacist | 1200 So. Columbia Rd., Altru Retail Pharmacy, Grand Forks, ND 58206-6002 | 2010-08-23 |
| 1821236100 | Mariah Rose Dolan | Physical Therapist | 1000 South Columiba Rd, Grand Forks, ND 58206-6002 | 2009-01-26 |
| 1235334269 | Jordan James Wojnarski | Speech-Language Pathologist | 1300 Columbia Road S, Grand Forks, ND 58206-6002 | 2007-06-19 |
| 1669681425 | Sara Elizabeth Bjerke | Specialist/Technologist | 1300 S Columiba Rd, Grand Forks, ND 58206-6002 | 2007-05-21 |
| 1306065602 | Lindsey G Miskavige | Speech-Language Pathologist | 1200 South Columbia Road, Grand Forks, ND 58206-6002 | 2007-04-25 |
| 1396836193 | Bernard Jerome Hoggarth | Pediatrics | 1000 S Columbia Road, Grand Forks, ND 58206-6002 | 2006-09-27 |
| Find all providers in zip 58206 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477163335 | Tabitha Elizabeth Clare Solc | Nurse Practitioner | 5770 Orchid Cir, Grand Forks, ND 58201-3232 | 2020-08-05 |
| 1093233165 | Elizabeth Marie Hodny | Nurse Practitioner | 1451 44th Ave S Ste 112, Grand Forks, ND 58201-3434 | 2017-09-08 |
| 1740686971 | Kristi L Hillman | Nurse Practitioner | 960 South Columbia Road, Grand Forks, ND 58201-4030 | 2014-11-17 |
| 1023075975 | Mary Pat Holler-bibel | Nurse Practitioner | 718 Oak St, Grand Forks, ND 58201-4460 | 2006-04-26 |
| 1982210308 | Kristen Marie Young | Nurse Practitioner | 212 S 4th St Ste 301, Grand Forks, ND 58201-4776 | 2020-09-21 |
| 1306464219 | Leanne Kilzer | Nurse Practitioner | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 | 2020-07-07 |
| 1356972665 | Leslie Erica Rodriguez | Nurse Practitioner | 1380 S Columbia Rd, Grand Forks, ND 58201-4059 | 2020-01-27 |
| 1013559491 | Hannah Nelson | Nurse Practitioner | 4700 S Washington St Ste C, Grand Forks, ND 58201-8155 | 2019-10-17 |
| 1952962128 | Renae Dawn Heider | Nurse Practitioner | 4440 S Washington St- Altru Professional Center, Grand Forks, ND 58201-7245 | 2019-06-27 |
| 1265093124 | Mckenzie Ann Brown | Nurse Practitioner | 3035 Demers Ave, Grand Forks, ND 58201-4040 | 2019-06-21 |
| Find all providers in GRAND FORKS | ||||
| City | GRAND FORKS |
| Zip Code | 58206 |
Please comment or provide details below to improve the information on KELLY JEAN STAUSS 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.