Active NPI
Caroline Eva Schildbach, NP
- Nurse Practitioner
- Seattle, WA
National Provider Identifier
1063939486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP60852920
- Practice address
- 1100 9TH Ave
Seattle, WA 98101 - Phone
- (206) 223-6600
- NPI assigned
- Aug 25, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R197548 | MD | |
| Nurse Practitioner | 363L00000X | AP60852920 | WA | Primary |
Addresses
Primary practice location
1100 9TH Ave
Seattle, WA 98101
Mailing address
1100 9TH Ave
Ms: M4-PFS
Seattle, WA 98101-2756
Phone (206) 223-6600
Other practice location 1
4669 Falls Rd
Baltimore, MD 21209-4914
Phone (410) 662-8606
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R197548 | MD | MD | Nurse Practitioner |
| AP60852920 | WA | MD | Nurse Practitioner |
Networks
- devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
- WA PPO C-SNP
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528934400000",
"number": "1063939486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 9TH AVE",
"address_2": "MS: M4-PFS",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981012756",
"telephone_number": "206-223-6600",
"fax_number": "206-341-0274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 9TH AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98101",
"telephone_number": "206-223-6600"
}
],
"practiceLocations": [
{
"address_1": "4669 Falls Rd",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212094914",
"country_code": "US",
"telephone_number": "410-662-8606",
"fax_number": "410-662-8608",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHILDBACH",
"first_name": "CAROLINE",
"middle_name": "EVA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-25",
"last_updated": "2018-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "R197548",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP60852920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.