Active NPI
Betsy L Carlson, M.A., CCC-A
- Audiologist
- Tacoma, WA
National Provider Identifier
1497725469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- WACD00002445
- Practice address
- Madigan Army Medical Center
MCHJ-Set-Audiology Clinic
Tacoma, WA 98431-0001 - Phone
- (253) 968-0456
- Fax
- (253) 968-5927
- NPI assigned
- Jan 24, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | WACD00002445 | WA | Primary |
Addresses
Primary practice location
Madigan Army Medical Center
MCHJ-Set-Audiology Clinic
Tacoma, WA 98431-0001
Mailing address
2202 33Rd Ave SE
Puyallup, WA 98374-4125
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| WACD00002445 | WA | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416873600000",
"number": "1497725469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2202 33RD AVE SE",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983744125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MADIGAN ARMY MEDICAL CENTER",
"address_2": "MCHJ-SET-AUDIOLOGY CLINIC",
"city": "TACOMA",
"state": "WA",
"postal_code": "984310001",
"telephone_number": "253-968-0456",
"fax_number": "253-968-5927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "BETSY",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "M.A., CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-24",
"last_updated": "2014-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WA",
"license": "WACD00002445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.