Organization Active NPI

Carol D. Sexton, MD, PS

  • Psychiatry Physician
  • Spokane, WA
National Provider Identifier
1558670349
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD00019373 Issued in WA
Legal business name
CAROL D. SEXTON, MD, PS
Practice address
1403 S Grand Blvd
Suite 204 South
Spokane, WA 99203-2263
Phone
(509) 414-5050
Fax
(509) 414-5051
NPI assigned
Sep 28, 2010
Last updated
Sep 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2010

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

Authorized official

Name
Dr. Carol D Sexton, MD
Title
President
Phone
(509) 414-5050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD00019373 WA Primary

Addresses

Primary practice location

1403 S Grand Blvd
Suite 204 South
Spokane, WA 99203-2263

Mailing address

1403 S Grand Blvd
Suite 204 South
Spokane, WA 99203-2263
Phone (509) 414-5050

Other identifiers 2

IdentifierTypeStateIssuer
1811043342OtherWANPI, INDIVIDUAL
34211MedicaidLA

National Provider Directory

National Provider Directory

Locations

1403 S Grand Blvd
Ste 204S
Spokane, WA 99203
Phone (509) 414-5050

NPI Registry JSON

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1558670349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 S GRAND BLVD",
            "address_2": "SUITE 204 SOUTH",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032263",
            "telephone_number": "509-414-5050",
            "fax_number": "509-414-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 S GRAND BLVD",
            "address_2": "SUITE 204 SOUTH",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032263",
            "telephone_number": "509-414-5050",
            "fax_number": "509-414-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL D. SEXTON, MD, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-28",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "SEXTON",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-414-5050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD00019373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI, INDIVIDUAL",
            "identifier": "1811043342",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34211",
            "state": "LA"
        }
    ],
    "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 Sep 28, 2010; 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.