MRS. KRISTINA RAE CARLSON (NPI# 1760824874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760824874 |
| Entity Type | Individual |
| Full Name | MRS. KRISTINA RAE CARLSON |
| Credential | RN, MSN, NP-C |
| Practice Address |
625 N. Jackson Avenue Springfield MN 56087 |
| Practice Telephone | 8774127575 |
| Mailing Telephone | 8774127575 |
| Mailing Fax Number | 5077236447 |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2020-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1502 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | RN | R1748934 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265969463 | Kristina Carlson | Counselor | 528 N Main St, Providence, RI 02904-5757 | 2017-05-18 |
| 1821474990 | Kristina Carlson | Pharmacist | 10010 N Scottsdale Rd, Scottsdale, AZ 85253-1421 | 2015-07-30 |
| Street Address |
625 N. JACKSON AVENUE |
| City | SPRINGFIELD |
| State | MN |
| Zip Code | 56087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013027986 | Robert R Belling Jr. | Dentist | 602 N Jackson St, Springfield, MN 56087 | 2006-08-30 |
| 1043288269 | Thomas James Davis | Surgery | 404 W Central St, Springfield, MN 56087 | 2006-03-14 |
| 1518222769 | Daren Randall | Nurse Practitioner | 625 N Jackson Ave, Springfield, MN 56087 | 2012-07-12 |
| 1083769095 | Pbr Optometrists Ltd of Springfield | Optometrist | 602 North Jackson Ave, Springfield, MN 56087-0186 | 2007-01-23 |
| 1376180109 | Drs. Akre & Clark, Ltd. | Optometrist | 623 W Rock St, Springfield, MN 56087-1028 | 2019-11-27 |
| 1346318110 | Ind School Dist 85 | Local Education Agency (LEA) | 12 Burns Ave, Springfield, MN 56087-1202 | 2006-12-01 |
| 1124649702 | Bridget Fenger | Specialist/Technologist | 521 W Central St, Springfield, MN 56087-1213 | 2020-05-05 |
| 1043279243 | Bradley Jay Haugo | Chiropractor | 10 N O Connell Ave, Springfield, MN 56087-1308 | 2006-03-17 |
| 1316009681 | Dr Brad Haugo Dc Chtd | Chiropractor | 10 N O Connell Ave, Springfield, MN 56087-1308 | 2006-12-14 |
| 1528436607 | Superior Mobility LLC | Non-emergency Medical Transport (VAN) | 21 N Cass Ave, Springfield, MN 56087-1501 | 2015-09-08 |
| Find all providers in zip 56087 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072823 | Rachel Westbrook | Nurse Practitioner | 1417 Burning Bush Ct, Springfield, IL 62712-7529 | 2020-10-27 |
| 1730786377 | Catherine Newman | Nurse Practitioner | 27124 La-42, Springfield, LA 70462 | 2020-10-07 |
| 1275146268 | Courtney Wilbern | Nurse Practitioner | 1200 W Centre St, Springfield, IL 62704-5812 | 2020-08-28 |
| 1588276240 | Andrew Ronald Mouser | Nurse Practitioner | 607 Prospect Rd, Springfield, PA 19064-2819 | 2020-08-23 |
| 1821609082 | William Coleman Bryant | Nurse Practitioner | 5552 W Longleaf Dr, Springfield, MO 65802-7834 | 2020-08-12 |
| 1386254399 | Ashley Lynn Murray | Nurse Practitioner | 2443 E Greenwood St, Springfield, MO 65804-3907 | 2020-08-04 |
| 1679182281 | Erica Gail Hunt | Nurse Practitioner | 2813 Haverford Rd, Springfield, IL 62704-4267 | 2020-07-29 |
| 1063020063 | Gage Azeez | Nurse Practitioner | 46 Timber Ln, Springfield, MA 01119-2828 | 2020-07-16 |
| 1033737440 | Janne L Nicholson | Nurse Practitioner | 8360 Dunham Ct Apt G, Springfield, VA 22152-1122 | 2020-07-13 |
| 1922623156 | Amanda E Hildebrand | Nurse Practitioner | 3370 Carman Ave, Springfield, IL 62703-4642 | 2020-06-12 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 56087 |
Please comment or provide details below to improve the information on MRS. KRISTINA RAE 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.