Active NPI
Carol H Hungerford, D.O
- Family Medicine Physician
- Puyallup, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OP61483214
- Practice address
- 11019 Canyon Rd E
Puyallup, WA 98373-3001 - Phone
- (425) 259-0966
- NPI assigned
- Jun 8, 2016
- Last updated
- Jun 15, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1733 | NE | |
| Family Medicine Physician | 207Q00000X | DO2832 | NV | |
| Family Medicine Physician | 207Q00000X | OP61483214 | WA | Primary |
Addresses
Primary practice location
11019 Canyon Rd E
Puyallup, WA 98373-3001
Mailing address
7600 Evergreen Way
Everett, WA 98203-6421
Phone (206) 860-5414
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134578222 | Medicaid | NV | |
| DO2832 | Other | NV | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3927 Rucker Ave
Everett, WA 98201-4833
Phone (425) 259-0966
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP61483214 | WA | MD | Family Medicine Physician |
| 1733 | NE | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Polyclinic PLLC | Family Medicine | Current | Accepting new patients |
| Optum Care Washington PLLC | Family Medicine | Current | Accepting new patients |
| Intermountain Medical Holdings Nevada Inc | Family Medicine | Current | Accepting new patients |
| Healthcare Partners Medical Group Coats LTD | Family Medicine | Current | Accepting new patients |
| Intermountain Medical Holdings Nevada Inc | Current | Accepting new patients | |
| Optum Care Washington PLLC | Family Medicine | Current | Accepting new patients |
| The Polyclinic PLLC | Family Medicine | Current | Accepting new patients |
| The Polyclinic | Current | Accepting new patients |
Locations
595 W Lake Mead Pkwy
Henderson, NV 89015
Phone (702) 566-5500
4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554
6170 N Durango Dr
Ste 130
Las Vegas, NV 89149
Phone (702) 940-1550
6355 S Buffalo Dr
Fl 3
Las Vegas, NV 89113
Phone (702) 479-4881
1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500
1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903
3927 Rucker Ave
Everett, WA 98201
Phone (425) 339-5419
1145 Broadway
Seattle, WA 98122
9709 3rd Ave NE
Seattle, WA 98115
Phone (206) 525-5777
1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299
Interoperability endpoints
- chungerford81971@direct.tecmc.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Intermountain Health
- Internal Medicine Physician
- Henderson, NV
- NPI 1245997279
Family Medicine
-
- Durable Medical Equipment & Medical Supplies
- Marysville, WA
- NPI 1194428425
Family Medicine
-
- Radiation Oncology Physician
- Seattle, WA
- NPI 1962824219
-
dba Optum Tacoma
- Durable Medical Equipment & Medical Supplies
- Tacoma, WA
- NPI 1831411487
Family Medicine
-
- Family Medicine Physician
- Las Vegas, NV
- NPI 1487631917
-
dba Intermountain Health Home Care
- Home Health Agency
- Las Vegas, NV
- NPI 1689882557
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Joseph Lab PAC LAB
- Clinical Medical Laboratory
- Tacoma, WA
- NPI 1659585370
Hospital
-
dba St Joseph Medical Center
- General Acute Care Hospital
- Tacoma, WA
- NPI 1952309098
-
dba St Joseph Medical Center
- General Acute Care Hospital
- Tacoma, WA
- NPI 1124291117
-
dba MultiCare Good Samaritan Hospital
- General Acute Care Hospital
- Puyallup, WA
- NPI 1841231461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781481600000",
"number": "1134578222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7600 EVERGREEN WAY",
"city": "EVERETT",
"state": "WA",
"postal_code": "982036421",
"telephone_number": "206-860-5414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11019 CANYON RD E",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983733001",
"telephone_number": "425-259-0966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNGERFORD",
"first_name": "CAROL",
"middle_name": "H",
"credential": "D.O",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-08",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "1733",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NV",
"license": "DO2832",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "OP61483214",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1134578222",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "DO2832",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.