Active NPI
Ingrid A Carlson, MD
- Ophthalmology Physician
- Seattle, WA
National Provider Identifier
1396790895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD60494692
- Practice address
- 10330 Meridian Ave N
Suite 370
Seattle, WA 98133-9451 - Phone
- (206) 528-6000
- Fax
- (206) 528-0014
- NPI assigned
- May 23, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 38803 | CO | |
| Ophthalmology Physician | 207W00000X | MD60494692 | WA | Primary |
Addresses
Primary practice location
10330 Meridian Ave N
Suite 370
Seattle, WA 98133-9451
Mailing address
PO Box 6989
MSC 18913
Portland, OR 97228-6989
Phone (206) 858-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54902541 | Medicaid | CO |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optumcare Colorado Medical Group LLC | Past | Accepting new patients | |
| Mountain View Medical Group, PC | Past | Accepting new patients | |
| Mountain View Medical Group, PC | Ophthalmology | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/1928/brand/1/csg/62/fhir/r4
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Colorado Springs, CO
- NPI 1144405200
-
- Family Medicine Physician
- Colorado Springs, CO
- NPI 1295787703
Ophthalmology
-
- Family Medicine Physician
- Colorado Springs, CO
- NPI 1528190295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456704000000",
"number": "1396790895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6989",
"address_2": "MSC 18913",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972286989",
"telephone_number": "206-858-7000",
"fax_number": "206-858-7050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10330 MERIDIAN AVE N",
"address_2": "SUITE 370",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981339451",
"telephone_number": "206-528-6000",
"fax_number": "206-528-0014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "INGRID",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-23",
"last_updated": "2016-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CO",
"license": "38803",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WA",
"license": "MD60494692",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54902541",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.