Active NPI
Brittany J Carrico
- Home Health Registered Nurse
- Washougal, WA
National Provider Identifier
1356166276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 60435966
- Practice address
- 38612 SE Hidden Falls Rd
Washougal, WA 98671-9805 - Phone
- (208) 249-2018
- NPI assigned
- Nov 15, 2024
- 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 |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 60435966 | WA | Primary |
Addresses
Primary practice location
38612 SE Hidden Falls Rd
Washougal, WA 98671-9805
Mailing address
38612 SE Hidden Falls Rd
Washougal, WA 98671-9805
Phone (208) 249-2018
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 |
|---|---|---|---|
| 60435966 | WA | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731628800000",
"number": "1356166276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38612 SE HIDDEN FALLS RD",
"city": "WASHOUGAL",
"state": "WA",
"postal_code": "986719805",
"telephone_number": "208-249-2018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38612 SE HIDDEN FALLS RD",
"city": "WASHOUGAL",
"state": "WA",
"postal_code": "986719805",
"telephone_number": "208-249-2018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRICO",
"first_name": "BRITTANY",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-15",
"last_updated": "2024-11-15",
"certification_date": "2024-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "WA",
"license": "60435966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washougal, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.