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JENNIFER JOHNSON CARLSON FNP NPI 1558553693


NPI Information

NPI: 1558553693
Provider Name: JENNIFER JOHNSON CARLSON, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: LEGACY SALMON CREEK HOSPITAL

PECOS Registration: Yes

Address:
1905 SE 164TH AVE
VANCOUVER, WA
ZIP 98683
Phone: (360) 836-3396
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Jennifer Johnson Carlson, FNP is a family nurse practitioner in Vancouver, WA with 18 years of experience. Jennifer Johnson Carlson, FNP NPI is 1558553693. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1905 SE 164TH AVE
VANCOUVER, WA
ZIP 98683-937
Phone: (360) 836-3396

The NPI 1558553693 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report (HCPCS:93010)

The enumeration date for this NPI number is 8/13/2007 and was last updated on 2/20/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyAP30007648WASHINGTONYes
2363LF0000XNurse PractitionerFamily200750023NPOREGONNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19658154MEDICAIDWASHINGTON
2R187188MEDICARE PINOREGON
3R187189MEDICARE PINOREGON
4500601300MEDICAIDOREGON
5G8951719MEDICARE PINWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.