Active NPI
Carla J Wyatt, RN
- Registered Nurse
- Everett, WA
National Provider Identifier
1396882288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN00137892
- Practice address
- 9617 7TH Ave SE
Everett, WA 98208-3710 - Phone
- (425) 513-8509
- NPI assigned
- Jan 31, 2007
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN00137892 | WA | Primary |
Addresses
Primary practice location
9617 7TH Ave SE
Everett, WA 98208-3710
Mailing address
15436 Bel Red Rd
100
Redmond, WA 98052-5536
Phone (425) 644-4100
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN00137892 | WA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NPI 1023125499 | Past | Accepting new patients |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203379200000",
"number": "1396882288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15436 BEL RED RD",
"address_2": "100",
"city": "REDMOND",
"state": "WA",
"postal_code": "980525536",
"telephone_number": "425-644-4100",
"fax_number": "425-644-4101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9617 7TH AVE SE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982083710",
"telephone_number": "425-513-8509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYATT",
"first_name": "CARLA",
"middle_name": "J",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2008-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN00137892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.