Active NPI
Carla Hellekson, M.D.
- Psychiatry Physician
- Bellevue, WA
National Provider Identifier
1275604357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD00014711
- Practice address
- 1300 114TH Ave SE
#102
Bellevue, WA 98004-6942 - Phone
- (425) 688-1888
- Fax
- (425) 696-0083
- NPI assigned
- Nov 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD00014711 | WA | Primary |
Addresses
Primary practice location
1300 114TH Ave SE
#102
Bellevue, WA 98004-6942
Mailing address
1300 114TH Ave SE
#102
Bellevue, WA 98004-6942
Phone (425) 688-1888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204846810 | Other | WA | TAX ID |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00014711 | WA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407888000000",
"number": "1275604357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 114TH AVE SE",
"address_2": "#102",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980046942",
"telephone_number": "425-688-1888",
"fax_number": "425-696-0083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 114TH AVE SE",
"address_2": "#102",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980046942",
"telephone_number": "425-688-1888",
"fax_number": "425-696-0083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELLEKSON",
"first_name": "CARLA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-12",
"last_updated": "2014-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "MD00014711",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "204846810",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.