Darcia Carllette Tudor, MA, CMHS, WCM, JD

Primary specialty

SpecialistTaxonomy code 174400000X

License

12175 Issued in WA

Practice address

2018 156TH Ave NE
Bellevue, WA 98007-3825

Phone

(206) 547-3166

Fax

(425) 883-4751

NPI assigned

Feb 5, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Darcia Carlette Carllette Owings Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Juris Doctor, Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233792000000",
    "number": "1083853501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2018 156TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073825",
            "telephone_number": "206-547-3166",
            "fax_number": "425-883-4751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 156TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073825",
            "telephone_number": "206-547-3166",
            "fax_number": "425-883-4751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUDOR",
        "first_name": "DARCIA",
        "middle_name": "CARLLETTE",
        "name_prefix": "Ms.",
        "credential": "MA, CMHS, WCM, JD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-05",
        "last_updated": "2009-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "12175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARCIA CARLETTE",
            "last_name": "OWINGS",
            "middle_name": "CARLLETTE",
            "prefix": "MS.",
            "credential": "JD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ariuntulga Tserendavaa
• Swan Tso, MSW
• Elizabeth Ann Tsouprake, LMP
• Elizabeth Tucker
• Maggie Tai Sakaki Tucker, OTR/L
• Lauren Tumbleson, C.D.P.
• Millie Y Tung, MD FACP
• Craig Vaughan Tuohy, M.D.
• Carol Patricia Turek
• Caitlin Ann Turner, PT

• Specialist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.