Individual provider Active NPI

Carrie Nicole De Vault, CPC, CPRC

  • Peer Specialist
  • Redmond, WA
National Provider Identifier
1174190581
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Practice address
16225 NE 87TH St Ste 160
Redmond, WA 98052-3536
Phone
(206) 901-2000
NPI assigned
Jun 6, 2021
Last updated
Jun 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X WA Primary

Addresses

Primary practice location

16225 NE 87TH St Ste 160
Redmond, WA 98052-3536

Mailing address

451 4TH Ave S Apt 307
Kirkland, WA 98033-3610
Phone (206) 280-6312

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1622937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1174190581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 4TH AVE S APT 307",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980333610",
            "telephone_number": "206-280-6312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16225 NE 87TH ST STE 160",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523536",
            "telephone_number": "206-901-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE VAULT",
        "first_name": "CARRIE",
        "middle_name": "NICOLE",
        "credential": "CPC, CPRC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-06",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.