Individual provider Active NPI

Leanne Carlson

  • Family Nurse Practitioner
  • Anacortes, WA
National Provider Identifier
1609387588
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60740603 Issued in WA
Practice address
2511 M Ave Ste B
Anacortes, WA 98221-3897
Phone
(360) 293-3101
NPI assigned
Oct 18, 2017
Last updated
Sep 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60740603 WA Primary

Addresses

Primary practice location

2511 M Ave Ste B
Anacortes, WA 98221-3897

Mailing address

3822 Sutton PL
Anacortes, WA 98221-1167

Other practice location 1

1050 Lakeway Dr
Bellingham, WA 98229-2020
Phone (360) 671-7100

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGOtherWAMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171211002582 WA Practitioner - Nurse Practitioner 5799043246 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2511 M Ave
Suite B
Anacortes, WA 98221-3897
Phone (360) 299-4211

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Emergency Physicians LLC CurrentSince Aug 1, 2021 Accepting new patients
Public Hospital District No 2 Skagit County Washington CurrentSince Sep 1, 2021 Accepting new patients
Northwest Physician Associates PC CurrentSince Aug 1, 2021 Accepting new patients
Super Track Urgent Care LLC CurrentSince Nov 1, 2017 Accepting new patients
Public Hospital District No 2 Skagit County Washington CurrentSince Sep 1, 2021 Accepting new patients
Public Hospital District No 2 Skagit County Washington Current Accepting new patients
Mahnaz Lary MD Inc PS PastSince Nov 1, 2017 Accepting new patients
Public Hospital District No 2 Skagit County Washington Past Accepting new patients

Locations

1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181

1213 24th St
Ste 100
Anacortes, WA 98221
Phone (360) 293-3101

2511 M Ave
Ste B
Anacortes, WA 98221
Phone (360) 293-3101

330 S Stillaguamish Ave
Arlington, WA 98223
Phone (360) 435-2133

1050 Lakeway Dr
Bellingham, WA 98229
Phone (360) 671-7100

2901 Squalicum Pkwy
Bellingham, WA 98225
Phone (360) 734-5400

34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1609387588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3822 SUTTON PL",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982211167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 M AVE STE B",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982213897",
            "telephone_number": "360-293-3101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 Lakeway Dr",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982292020",
            "country_code": "US",
            "telephone_number": "360-671-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "LEANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-18",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60740603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "PENDING",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anacortes, WA

Sources for this page

Verify at the official NPI Registry.