Victoria Lynn Carlson, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

00064340 Issued in WA

Practice address

23911 24TH Dr SE
Bothell, WA 98021-9649

Phone

(425) 770-8569

Fax

(425) 463-4274

NPI assigned

May 25, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1346778008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23911 24TH DR SE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980219649",
            "telephone_number": "425-770-8569",
            "fax_number": "425-463-4274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23911 24TH DR SE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980219649",
            "telephone_number": "425-770-8569",
            "fax_number": "425-463-4274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "VICTORIA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "WA",
            "license": "00064340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Capstone Health Services Inc.
• Jeanne Carbonetti, LMHC
• Caremark, L.L.C.
• Susan M. Carey, PHD
• Naphtali Carlson, LMHC
• Brian Lynn Carlton, ED.D.
• Ara G Carmody, D.D.S
• Casey E Carmody, DDS
• Allison Danielle Carnahan, LMP
• Lea Carollo, MS. CCC-SLP

• Community Health Registered Nurse in Bothell, WA
• Providers in Bothell, WA by specialty
• Community Health Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.