Active NPI
Denise Louise Carvo
- Registered Nurse
- Shelton, WA
National Provider Identifier
1679296149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN00108760
- Practice address
- 307 W Cota St
Shelton, WA 98584-2265 - Phone
- (360) 205-8001
- NPI assigned
- Sep 20, 2022
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN00108760 | WA | Primary |
Addresses
Primary practice location
307 W Cota St
Shelton, WA 98584-2265
Mailing address
307 W Cota St
Shelton, WA 98584-2265
Phone (360) 205-8001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WDL5Z218213B | Other | WA | DRIVER'S LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Dcarvo@telecarecorp.com |
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 |
|---|---|---|---|
| RN00108760 | WA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663632000000",
"number": "1679296149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 W COTA ST",
"city": "SHELTON",
"state": "WA",
"postal_code": "985842265",
"telephone_number": "360-205-8001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 W COTA ST",
"city": "SHELTON",
"state": "WA",
"postal_code": "985842265",
"telephone_number": "360-205-8001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARVO",
"first_name": "DENISE",
"middle_name": "LOUISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-20",
"last_updated": "2022-09-20",
"certification_date": "2022-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN00108760",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER'S LICENSE",
"identifier": "WDL5Z218213B",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Dcarvo@telecarecorp.com",
"affiliation": "N",
"address_1": "307 W Cota St",
"city": "Shelton",
"state": "WA",
"country_code": "US",
"postal_code": "985842265",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Shelton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.