Active NPI
Carlie Robin Mzik, DNP
- Nurse Practitioner
- Puyallup, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP61321809
- Practice address
- 10217 125TH Street CT E # Ce
Puyallup, WA 98374-2761 - Phone
- (253) 864-4550
- Fax
- (253) 864-4558
- NPI assigned
- Aug 18, 2018
- Last updated
- Jan 10, 2025
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP61321809 | WA | Primary |
| Family Nurse Practitioner | 363LF0000X | AP61321809 | WA | |
| Registered Nurse | 163W00000X | RN61302455 | WA | |
| Community Health Registered Nurse | 163WC1500X | 244752 | SC |
Addresses
Primary practice location
10217 125TH Street CT E # Ce
Puyallup, WA 98374-2761
Mailing address
PO Box 34703
Seattle, WA 98124-1703
Other practice location 1
26401 Pacific Hwy S Ste 101
Des Moines, WA 98198-9247
Phone (206) 870-3590
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cmzik20119@healthpoint.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
26401 Pacific Hwy S
Suite 101
Des Moines, WA 98198
Phone (206) 870-3590
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 244752 | SC | MD | Community Health Registered Nurse |
| AP61321809 | WA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpoint | Current | Accepting new patients | |
| Healthpoint | Current | Accepting new patients | |
| Sea Mar Community Health Centers | Nurse Practitioner | Current | Accepting new patients |
| Healthpoint | Current | Accepting new patients | |
| Sea Mar Community Health Centers | Current | Accepting new patients | |
| Sea Mar Community Health Centers | Registered Nurse | Current | Accepting new patients |
Locations
126 Auburn Ave
Ste 300
Auburn, WA 98002
Phone (253) 735-0166
10414 Beardslee Blvd
Ste 100
Bothell, WA 98011
Phone (425) 486-0658
26401 Pacific Hwy S
Ste 101
Des Moines, WA 98198
Phone (206) 870-3590
33431 13th Pl S
Federal Way, WA 98003
Phone (253) 874-7634
403 E Meeker St
Ste 200
Kent, WA 98030
Phone (253) 852-2866
10217 125th Street Ct E
Puyallup, WA 98374
Phone (253) 864-4550
10217 125th Street Ct E
Fl 2
Puyallup, WA 98374
Phone (253) 864-4550
16255 NE 87th St
Ste 150
Redmond, WA 98052
Phone (425) 882-1697
200 S 2nd St
Renton, WA 98057
Phone (425) 226-5536
8720 14th Ave S
Seattle, WA 98108
Phone (206) 762-3730
Interoperability endpoints
- carlie.mzik.p3@direct.hpc.nextgenshare.com
- cmzik20119@healthpoint.direct-ci.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba HealthPoint Kent Medical
- Federally Qualified Health Center (FQHC)
- Kent, WA
- NPI 1831199454
-
dba Sea Mar Community Health Center
- Federally Qualified Health Center (FQHC)
- Aberdeen, WA
- NPI 1811051170
Nurse Practitioner
-
dba HealthPoint Federal Way Medical
- Federally Qualified Health Center (FQHC)
- Federal Way, WA
- NPI 1679575039
-
dba HealthPoint White Center Medical
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1770471377
-
- Federally Qualified Health Center (FQHC)
- Puyallup, WA
- NPI 1912055286
-
- Federally Qualified Health Center (FQHC)
- Spanaway, WA
- NPI 1922624642
Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736467200000",
"number": "1376023358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34703",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10217 125TH STREET CT E # CE",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983742761",
"telephone_number": "253-864-4550",
"fax_number": "253-864-4558"
}
],
"practiceLocations": [
{
"address_1": "26401 Pacific Hwy S Ste 101",
"address_purpose": "LOCATION",
"city": "Des Moines",
"state": "WA",
"postal_code": "981989247",
"country_code": "US",
"telephone_number": "206-870-3590",
"fax_number": "206-824-1670",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MZIK",
"first_name": "CARLIE",
"middle_name": "ROBIN",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-18",
"last_updated": "2025-01-10",
"certification_date": "2025-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP61321809",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP61321809",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN61302455",
"primary": false
},
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "SC",
"license": "244752",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cmzik20119@healthpoint.direct-ci.com",
"affiliation": "N",
"address_1": "26401 Pacific Hwy S Ste 101",
"city": "Des Moines",
"state": "WA",
"country_code": "US",
"postal_code": "981989247",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.