NICOLE W CARLSON RN, CPNP
NPI 1013161173
Nurse Practitioner - Pediatrics in Chicago, IL

Active since November 14, 2008
5839 S MARYLAND AVE, MC 5044, CHICAGO, IL 60637(773) 702-2186 Get Directions Write a Review

NPPES record last updated: November 14, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole W Carlson Rn, Cpnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE W CARLSON RN, CPNP (NPI 1013161173) is an individual pediatrics provider in Chicago, Illinois, licensed in Illinois (209004914) and active in the NPI registry since November 2008.

NPPES Registry Identity

NPI1013161173
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameNICOLE W CARLSONCredential: RN, CPNP
Location Address5839 S MARYLAND AVE, MC 5044Chicago, IL 60637-1463
Mailing Address5839 S Maryland Ave, Mc 5044Chicago, IL 60637-1463 · (773) 702-2186
Sole ProprietorYes
Enumeration DateNovember 14, 2008
NPI 1013161173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in IL · 209004914
5839 S MARYLAND AVE, Chicago, IL 60637

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Pediatric Endocrinology)
5839 S MARYLAND AVE, MC5053
CHICAGO, IL 60637
Surgery (Pediatric Surgery)
5839 S MARYLAND AVE, WP C-411 / MC 4062
CHICAGO, IL 60637
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
5839 S MARYLAND AVE, MC 3055
CHICAGO, IL 60637

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Carlson's NPI number?

The NPI number for Nicole Carlson is 1013161173. It was assigned to this individual provider in the NPPES registry on November 14, 2008.

Where is Nicole Carlson located?

Nicole Carlson practices at 5839 S Maryland Ave Mc 5044, Chicago, IL 60637. The listed phone number is (773) 702-2186.

What is Nicole Carlson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Nicole Carlson was last updated on November 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.