NPIMap

Individual provider Active NPI

Katrina Carli, M.D.

  • Nephrology Physician
  • Everett, WA
National Provider Identifier
1407112337
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD60374354 Issued in WA
Practice address
2707 Colby Ave Ste 718
Everett, WA 98201-3528
Phone
(425) 339-5413
Fax
(425) 339-4213
NPI assigned
Apr 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD60374354 WA Primary

Addresses

Primary practice location

2707 Colby Ave Ste 718
Everett, WA 98201-3528

Mailing address

1840 E Ray Rd
Chandler, AZ 85225-8720
Phone (855) 397-0197

Other identifiers 1

IdentifierTypeStateIssuer
2028972MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150921002570 WA Practitioner - Nephrology 4183931371 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Loma Linda University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Snokidney PLLCGroup PAC ID 7911349295, 11 clinicians

Practice addresses (Care Compare)

2707 Colby Ave
Suite 718
Everett, WA 98201-3564
Phone (425) 339-5413

Hospital & facility affiliations

  • Puget Sound Kidney Center Smokey Point Dialysis facility, Arlington, WA, CCN 502546
  • DaVita Everett Dialysis Center Dialysis facility, Everett, WA, CCN 502560
  • Puget Sound Kidney Center Dialysis facility, Everett, WA, CCN 502503
  • DaVita Lynnwood Dialysis Dialysis facility, Lynnwood, WA, CCN 502595
  • DaVita Cascade Dialysis Dialysis facility, Burlington, WA, CCN 502581
  • Providence Regional Medical Center Everett Hospital, Everett, WA, CCN 500014
  • Skagit Valley Hospital Hospital, Mount Vernon, WA, CCN 500003
  • Whidbeyhealth Medical Center Hospital, Coupeville, WA, CCN 501339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD60374354WAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Care Washington PLLC Internal Medicine CurrentSince Sep 7, 2015 Accepting new patients
Optum Care Washington PLLC Internal Medicine CurrentSince Sep 7, 2015 Accepting new patients
Pacific Kidney & Hypertension, LLC Nephrology CurrentSince Jul 1, 2018 Accepting new patients
Pacific Kidney & Hypertension, LLC Nephrology CurrentSince Jul 1, 2018 Accepting new patients
Snokidney PLLC Nephrology CurrentSince Jun 1, 2024 Accepting new patients

Locations

1840 E Ray Rd
Chandler, AZ 85225
Phone (855) 397-0197

16410 Smokey Point Blvd
Ste 205
Arlington, WA 98223
Phone (253) 308-3001

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

3901 Hoyt Ave
Everett, WA 98201
Phone (425) 258-3903

2707 Colby Ave
Ste 718
Everett, WA 98201
Phone (425) 339-5413

1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299

Interoperability endpoints

  • Direct secure messaging: katrina.carli@direct.davitaphysiciansolutions.com

Organizations & group practices 5

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1407112337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 E RAY RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852258720",
            "telephone_number": "855-397-0197",
            "fax_number": "800-272-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 COLBY AVE STE 718",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013528",
            "telephone_number": "425-339-5413",
            "fax_number": "425-339-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLI",
        "first_name": "KATRINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-04",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WA",
            "license": "MD60374354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2028972",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.