Active NPI
Ayana Carroll-Cedergreen
- Counselor
- Shoreline, WA
National Provider Identifier
1346513983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 475929F
- Practice address
- 17018 15TH Ave NE
Shoreline, WA 98155-5126 - Phone
- (206) 631-8800
- NPI assigned
- Feb 13, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 475929F | WA | Primary |
Addresses
Primary practice location
17018 15TH Ave NE
Shoreline, WA 98155-5126
Mailing address
9480 Olson PL SW
#G
Seattle, WA 98106-3138
Phone (206) 369-1224
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 475929F | WA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329091200000",
"number": "1346513983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9480 OLSON PL SW",
"address_2": "#G",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981063138",
"telephone_number": "206-369-1224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17018 15TH AVE NE",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981555126",
"telephone_number": "206-631-8800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARROLL-CEDERGREEN",
"first_name": "AYANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-13",
"last_updated": "2012-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "475929F",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shoreline, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.