Active NPI
Colleen R Carey, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Spokane, WA
National Provider Identifier
1669420477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- MD 00018205
- Practice address
- 910 W 5TH Ave
Suite 102
Spokane, WA 99204-2966 - Phone
- (509) 228-1635
- Fax
- (509) 252-9300
- NPI assigned
- May 4, 2006
- Last updated
- Dec 10, 2012
- 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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | MD 00018205 | WA | Primary |
Addresses
Primary practice location
910 W 5TH Ave
Suite 102
Spokane, WA 99204-2966
Mailing address
PO Box 3868
Spokane, WA 99220-3868
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1645902 | Medicaid | WA | |
| 003628700 | Medicaid | ID |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 00018205 | WA | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Clinic of Spokane PS | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Spokane, WA
- NPI 1336186105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355097600000",
"number": "1669420477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3868",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992203868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 W 5TH AVE",
"address_2": "SUITE 102",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042966",
"telephone_number": "509-228-1635",
"fax_number": "509-252-9300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAREY",
"first_name": "COLLEEN",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-04",
"last_updated": "2012-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "WA",
"license": "MD 00018205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1645902",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003628700",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
- Career Path Services Employment and Training
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- Marissa Carelli-Taylor, LPCC
- Caretouch Psychiatry PLLC
- Chiara Carey
- Caring Committed Placement Options (Vesta Adult Family Homes)
- Caring Committed Placement Options (Vesta Adult Family Homes)
- Caring Committed Placement Options, LLC (Vesta Adult Family Homes)
- Caring Companions Home LLC
- Selina Carino
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.