Individual provider Active NPI

Kelly Carper, LMP

  • Specialist
  • Seattle, WA
National Provider Identifier
1679758320
Registry record updated Dec 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
533108-07 Issued in WA
Practice address
7527 22ND Ave NW
Seattle, WA 98117-4312
Phone
(206) 545-1884
NPI assigned
Dec 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 533108-07 WA Primary

Addresses

Primary practice location

7527 22ND Ave NW
Seattle, WA 98117-4312

Mailing address

7527 22ND Ave NW
Seattle, WA 98117-4312
Phone (206) 545-1884

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

LicenseStateTypeSpecialty
533108-07WAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199059200000",
    "number": "1679758320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7527 22ND AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981174312",
            "telephone_number": "206-545-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7527 22ND AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981174312",
            "telephone_number": "206-545-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPER",
        "first_name": "KELLY",
        "name_prefix": "Ms.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "533108-07",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; 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.