MRS. AMANDA SUE CARLSON CRNP
NPI 1215403258
Nurse Practitioner - Family in Philadelphia, PA

Q: What is Amanda Carlson's NPI number?

The NPI number for Amanda Carlson is 1215403258. It was assigned to this individual provider in the NPPES registry on October 17, 2018. The provider is also known as Amanda Sue Mathis.

Q: What is Amanda Carlson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Carlson was last updated on October 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since October 17, 2018

2130 S 21ST ST, PHILADELPHIA, PA 19145(215) 925-3566 Get Directions Write a Review

NPPES record last updated: October 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Amanda Sue Carlson Crnp NPPES

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

MRS. AMANDA SUE CARLSON CRNP (NPI 1215403258) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP018141) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1215403258

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. AMANDA SUE CARLSONCredential: CRNP

Location Address2130 S 21ST STPhiladelphia, PA 19145-3401

Mailing Address16 Secretariat CirMedia, PA 19063-5261 · (616) 780-7354

Phone(215) 925-3566

Sole ProprietorNo

Enumeration DateOctober 17, 2018

✔ NPI 1215403258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in PA · SP018141

2130 S 21ST ST, Philadelphia, PA 19145

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Other Names 1

Former Name (1)Amanda Sue Mathis

Other Providers at the Same Location NPPES

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

MS. ELISE ROBINSON PIZZI CRNP

Nurse Practitioner (Gerontology)

2130 S 21ST ST
PHILADELPHIA, PA 19145

Philadelphia County (215) 925-3566

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 Amanda Carlson's NPI number?

The NPI number for Amanda Carlson is 1215403258. It was assigned to this individual provider in the NPPES registry on October 17, 2018. The provider is also known as Amanda Sue Mathis.

Where is Amanda Carlson located?

Amanda Carlson practices at 2130 S 21st St, Philadelphia, PA 19145. The listed phone number is (215) 925-3566.

What is Amanda Carlson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Amanda Carlson was last updated on October 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.