CAROLINE BERRY CARLSON (NPI# 1700234655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700234655 |
| Entity Type | Individual |
| Full Name | CAROLINE BERRY CARLSON |
| Credential | PA-C |
| Practice Address |
1525 W 2100 S Salt Lake City UT 84119-1407 |
| Mailing Address |
3219 E Bell Oaks Cir Sandy UT 84092-4255 |
| Practice Telephone | 8012139900 |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2016-06-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 9757712-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023598703 | Caroline Goforth Carlson | Physical Therapist | 500 E Rhode Island Ave, Southern Pines, NC 28387-4010 | 2018-08-21 |
| 1144304775 | Caroline A Carlson | Registered Nurse | 1901 S Cedar St, Tacoma, WA 98405-2308 | 2006-10-24 |
| Street Address |
1525 W 2100 S |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84119-1407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285624197 | Leslie Anne Gregersen | Pharmacist | 1525 W 2100 S, Salt Lake City, UT 84119-1401 | 2005-10-24 |
| 1174184758 | Cara Wolf | Nurse Practitioner | 1525 W 2100 S, Salt Lake City, UT 84119-1407 | 2019-06-25 |
| 1891272845 | Megan Whitlock | Social Worker | 1525 W 2100 S, Salt Lake City, UT 84119-1407 | 2018-07-23 |
| 1942718473 | Kristi Leavitt Nichols | Midwife | 1525 W 2100 S, Salt Lake City, UT 84119-1407 | 2018-01-18 |
| 1639697931 | Gilbert Gaertner IIi | Physician Assistant | 1525 W 2100 S, Salt Lake City, UT 84119-1407 | 2017-09-07 |
| 1528589579 | Rebecca Kline Burt | Family Medicine | 1525 W 2100 S, Salt Lake City, UT 84119-1407 | 2017-06-29 |
| 1861932576 | Brooke Diane Mariger Paulsen | Nurse Practitioner | 1525 W 2100 S, Salt Lake City, UT 84119-1407 | 2017-02-28 |
| 1356889703 | Ghaida Al-barzinji | Physician Assistant | 1525 W 2100 S, Salt Lake City, UT 84119-1407 | 2017-02-06 |
| 1184077075 | Bobbi Heaney | Nurse Practitioner | 1525 W 2100 S, Salt Lake City, UT 84119-1407 | 2016-07-15 |
| 1821450735 | University of Utah Pediatric Behavioral Health Services | Clinic/Center | 1525 W 2100 S, Salt Lake City, UT 84119-1401 | 2016-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164981932 | Arches Home Care, Inc. | Non-emergency Medical Transport (VAN) | 1385 W 2200 S Ste 203, West Valley City, UT 84119 | 2019-03-19 |
| 1629591003 | Exemplar Healthcare, Inc. | Hospice Care, Community Based | 1385 W 2200 S Ste 202, West Valley City, UT 84119 | 2017-07-18 |
| 1619358496 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 2875 S Decker Lake Dr Ste 180, West Valley City, UT 84119 | 2015-06-17 |
| 1821407735 | Nathan William Stobbe | Dentist | 3280 W. 3500 S. Ste 3, West Valley, UT 84119 | 2014-08-05 |
| 1801209028 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3148 W 3500 S, West Valley City, UT 84119 | 2014-06-05 |
| 1215347935 | Karl Edward Jennings | Social Worker | 3901 S David Pl, West Valley City, UT 84119 | 2014-05-02 |
| 1750624672 | Shannon Quinn Dunlop | Registered Nurse | 2621 S 3270 W, West Valley City, UT 84119 | 2013-03-28 |
| 1215273529 | Holly H Tanski | Counselor | 5770 S. 1500 W. Bld A, Ihc Wasatch Canyons Campus, Salt Lake City, UT 84119 | 2012-12-14 |
| 1982955860 | Oquirrh Meadows Care and Rehab, Inc | Assisted Living Facility | 2948 So. Redwood Road, West Valley City, UT 84119 | 2012-10-02 |
| 1518235068 | Asjad Kaleem Mohammed | Pharmacist | 2290 S Redwood Road, Olive Pharmacy, Salt Lake City, UT 84119 | 2011-12-12 |
| Find all providers in zip 84119 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556986 | Brittany Tran | Physician Assistant | 2733 W Redwick Ct, Salt Lake City, UT 84129-5901 | 2020-10-25 |
| 1528674975 | James Christopher Nichols | Physician Assistant | 1746 E 2100 S, Salt Lake City, UT 84106-4165 | 2020-09-21 |
| 1841826971 | David Souza | Physician Assistant | 52 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-03-20 |
| 1134751902 | Jacie Anna Mundahl | Physician Assistant | 8th Ave C St E 80, Salt Lake City, UT 84143-0001 | 2020-02-10 |
| 1336770544 | Kelsey Rae Thompson | Physician Assistant | 3809 S Parkview Dr, Salt Lake City, UT 84124-2322 | 2020-01-28 |
| 1245885458 | Adam Douglas Whitney | Physician Assistant | 1056 E Harrison Ave, Salt Lake City, UT 84105-2445 | 2019-08-05 |
| 1306498654 | Jarred J Entringer | Physician Assistant | 2725 S 700 E Apt K, Salt Lake City, UT 84106-2883 | 2019-07-16 |
| 1588216840 | Christina Thomas | Physician Assistant | 255 N 400 W Apt 5015, Salt Lake City, UT 84103-1568 | 2019-07-16 |
| 1770135022 | Evar Saelee | Physician Assistant | 2630 E Stringham Ave Apt 224a, Salt Lake City, UT 84109-3945 | 2019-07-16 |
| 1982263471 | Ashley Marten | Physician Assistant | 3610 E Cascade Way, Salt Lake City, UT 84109-2307 | 2019-06-10 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84119 |
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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.