Carrie Fang, L.A.

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

AC00000097 Issued in WA

Practice address

1737 Wells St
Enumclaw, WA 98022-3518

Phone

(360) 825-7549

Fax

(360) 825-4645

NPI assigned

Jan 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Fang Acupuncture Clinic

  • Acupuncturist
  • Enumclaw, WA
  • NPI 1134398993
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467598144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 WELLS ST",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980223518",
            "telephone_number": "360-825-7549",
            "fax_number": "360-825-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1737 WELLS ST",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980223518",
            "telephone_number": "360-825-7549",
            "fax_number": "360-825-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANG",
        "first_name": "CARRIE",
        "credential": "L.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "WA",
            "license": "AC00000097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Etherington, CNM, WHNP-BC
• Evergreen Eye Center, PLLC
• Evergreen Washington Healthcare Enumclaw, L.L.C.
• Family Physical Therapy PLLC
• Fang Acupuncture Clinic
• Kelly Ferguson
• Laura Ferrel
• Aimee Lynn Filipowicz, L.M.P.
• Kimberly Ann Fingerson, LMT
• Vanessa Flanders

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Enumclaw, WA
• Providers in Enumclaw, WA by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician 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.