Vivian L Carraway, VIVIAN CARRAWAY

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LF00001493 Issued in WA

Practice address

1902 120TH PL SE Ste 104
Everett, WA 98208-6292

Phone

(206) 890-8918

NPI assigned

Nov 23, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. V. Lori Carraway Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1164240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457426330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8411 MIDLAND RD",
            "city": "MEDINA",
            "state": "WA",
            "postal_code": "980395337",
            "telephone_number": "425-454-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 120TH PL SE STE 104",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982086292",
            "telephone_number": "206-890-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRAWAY",
        "first_name": "VIVIAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "VIVIAN CARRAWAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF00001493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RIDER NUMBER, REGENCE",
            "identifier": "5302CA",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "V.",
            "last_name": "CARRAWAY",
            "middle_name": "LORI",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Nicholas James Carpenter
• Penelope Anne Carpenter, DC
• Starla Jean Carpenter, RN
• Samuel Michael Carr, MSPT
• Todd S Carran, MD
• Desiree Carrazco
• Laura Angela Carreon, PT
• Marisa Carri, LMHCA
• Sandra Fay Carrier, ARNP
• Alexandria D Carrigg

• Marriage & Family Therapist in Everett, WA
• Providers in Everett, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.