Active NPI
John Warren Carstens, PTA
- Community Health Worker
- Spokane, WA
National Provider Identifier
1508102377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- P1 60183322
- Practice address
- 6025 N Assembly St
Spokane, WA 99205-7674 - Phone
- (509) 326-8282
- NPI assigned
- Dec 21, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | P1 60183322 | WA | Primary |
Addresses
Primary practice location
6025 N Assembly St
Spokane, WA 99205-7674
Mailing address
8113 E Sunflower CT
Spokane, WA 99217-9505
Phone (509) 225-0552
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P1 60183322 | WA | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356048000000",
"number": "1508102377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8113 E SUNFLOWER CT",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992179505",
"telephone_number": "509-225-0552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6025 N ASSEMBLY ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992057674",
"telephone_number": "509-326-8282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARSTENS",
"first_name": "JOHN",
"middle_name": "WARREN",
"name_prefix": "Mr.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-12-21",
"last_updated": "2012-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "WA",
"license": "P1 60183322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.