ELIZABETH CARLSON (NPI# 1619426111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619426111 |
| Entity Type | Individual |
| Full Name | ELIZABETH CARLSON |
| Practice Address |
922 22nd Ave S Brookings SD 57006-2830 |
| Mailing Address |
114 Se Lake Dr Estelline SD 57234-6603 |
| Practice Telephone | 6056971900 |
| Mailing Telephone | 6053606530 |
| Enumeration Date | 2016-09-25 |
| Last Update Date | 2016-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CP001134 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174909105 | Elizabeth Carlson | Counselor | 300 S Carlton Ave Ste 110, Wheaton, IL 60187-4830 | 2015-07-31 |
| 1578885273 | Elizabeth Lee Carlson | Registered Nurse | 101 Savannah Ave., Savannah, GA 30458 | 2010-02-22 |
| 1104992767 | Elizabeth Cranford Carlson | Speech-Language Pathologist | 3026 Westwick Dr, Houston, TX 77082-2225 | 2006-11-27 |
| 1699727248 | Elizabeth Dorothy Carlson | Dietitian, Registered | Highway 6, 002c, Iowa City, IA 52246 | 2006-05-16 |
| 1942856901 | Elizabeth Carlson | Counselor | 224 Great Bridge Blvd, Chesapeake, VA 23320-3904 | 2019-08-15 |
| 1912483926 | Elizabeth Ann Carlson | Speech-Language Pathologist | 465 Waverly Oaks Rd Ste 101, Waltham, MA 02452-8497 | 2018-07-12 |
| 1730543141 | Elizabeth Ann Jackson Carlson | Student in an Organized Health Care Education/Training Program | 925 Seneca St, Ms: H8-gme, Seattle, WA 98101-2742 | 2016-04-12 |
| 1316346752 | Elizabeth M Carlson | Physician Assistant | 370 N 120th Ave, Holland, MI 49424-2196 | 2014-08-21 |
| 1699174805 | Elizabeth Carlson | Nurse Practitioner | 1235 8th St, Las Vegas, NM 87701-4219 | 2014-08-14 |
| 1063645992 | Elizabeth Moyle Carlson | Physician Assistant | 735 White Ave, Grand Junction, CO 81501-3441 | 2009-08-26 |
| Street Address |
922 22ND AVE S |
| City | BROOKINGS |
| State | SD |
| Zip Code | 57006-2830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285623439 | Jennifer Lea Olson | Family Medicine | 922 22nd Ave S, Brookings, SD 57006-2830 | 2005-10-20 |
| 1619533312 | Sanford Clinic | Obstetrics & Gynecology | 922 22nd Ave S, Brookings, SD 57006-2830 | 2019-05-17 |
| 1215404231 | April Kay Schneider | Family Medicine | 922 22nd Ave S, Brookings, SD 57006-2830 | 2018-10-29 |
| 1043769383 | Rachel Lynde | Nurse Practitioner | 922 22nd Ave S, Brookings, SD 57006-2830 | 2016-09-28 |
| 1497199244 | Amy Christine Cook | Family Medicine | 922 22nd Ave S, Brookings, SD 57006-2830 | 2013-04-23 |
| 1598077729 | Zoilo O Lansang | Family Medicine | 922 22nd Ave S, Brookings, SD 57006-2830 | 2010-07-02 |
| 1003067059 | Regan M Norgaard | Physician Assistant | 922 22nd Ave S, Brookings, SD 57006-2830 | 2008-10-08 |
| 1962692707 | Nabeel Nasir | Family Medicine | 922 22nd Ave S, Brookings, SD 57006-2830 | 2007-07-27 |
| 1043241466 | Sanford Clinic | Radiology | 922 22nd Ave S, Brookings, SD 57006-2830 | 2006-07-05 |
| 1700839834 | Stephanie Kreie | Physician Assistant | 922 22nd Ave S, Brookings, SD 57006-2830 | 2006-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720685845 | Leah Kroeger | Specialist/Technologist | 2820 Stanley J Marshall Center, Brookings, SD 57006 | 2020-10-01 |
| 1619454774 | Alec Edward Weis | Student in an Organized Health Care Education/Training Program | 314 Main Ave Apt 4., Brookings, SD 57006 | 2018-07-22 |
| 1629569066 | Robin Lynn Erz | Counselor | East Central Behavioral Health, 211 4th Street, Brookings, SD 57006 | 2018-05-22 |
| 1982057246 | City of Brookings | Clinic/Center | 310 22nd Avenue, Brookings, SD 57006 | 2016-07-21 |
| 1922413806 | Avera Mckennan | Clinic/Center | 400 2nd Ave, Brookings, SD 57006 | 2014-06-30 |
| 1093157554 | Nathan William Hilbrands | Dentist | 427 8th St S, Brookings, SD 57006 | 2013-07-25 |
| 1992073951 | Andrea Uckert | Counselor | 619 5th Ave Ste 3, Brookings, SD 57006 | 2011-12-06 |
| 1972800100 | Melissa Ann Klemm | Counselor | 1304 Main Ave S, Brookings, SD 57006 | 2011-02-24 |
| 1285873539 | Amy Lynn Osterberg | Counselor | 211 4th St., East Central Mh/cd Center Inc, Brookings, SD 57006 | 2009-02-10 |
| 1114062072 | Kendalls Rexall Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 223 6th St, Brookings, SD 57006 | 2007-02-20 |
| Find all providers in zip 57006 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619364742 | Tanya Llanque | Nurse Practitioner | 500 Main Ave Unit 883, Brookings, SD 57006-7647 | 2015-04-15 |
| 1821272790 | Debra Ann Burlage | Nurse Practitioner | Wellness Center 154, 2818, Brookings, SD 57007-0001 | 2007-12-27 |
| 1861538274 | Tracey S Kather | Nurse Practitioner | 97825 Shopping Center Ave., Brookings, OR 97415 | 2007-01-30 |
| 1285710616 | Brenda Fern Andersen | Nurse Practitioner | Sdsu Student Health Clinic, N. Campus Drive, Brookings, SD 57007-0001 | 2006-10-27 |
| 1194807511 | Lindsay Marie Rheault | Nurse Practitioner | Wellness Ctr, Box 2818, Brookings, SD 57007-0001 | 2006-10-19 |
| 1508802802 | Jennifer M. Boyle | Nurse Practitioner | 585 5th St, Brookings, OR 97415-9702 | 2006-06-22 |
| 1235170564 | Carol Oliver | Nurse Practitioner | 413 Mill Beach Rd, Brookings, OR 97415-9690 | 2006-06-09 |
| 1700873528 | Melissa Louise Wilson | Nurse Practitioner | 524 Spruce Street Unit 3, Brookings, OR 97415 | 2005-10-06 |
| 1568461804 | Janine Dawn Bassett | Nurse Practitioner | 400 22nd Ave, Brookings, SD 57006-2450 | 2005-07-19 |
| 1295731644 | Carla Dieter | Nurse Practitioner | Sdsu Health & Counseling Clinc, Brookings, SD 57007-0001 | 2005-06-21 |
| Find all providers in BROOKINGS | ||||
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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.