Carrie M Kent, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OP60531519 Issued in WA

Practice address

3400 Main St
Vancouver, WA 98663-2223

Phone

(360) 729-1458

Fax

(360) 729-3021

NPI assigned

Apr 6, 2012

Last updated

Feb 9, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Western University of Health Sciences College of Dental Med, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Outside inGroup PAC ID 9638256662, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ckent656681@direct.ochin.org

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.

• Outside in

  • Federally Qualified Health Center (FQHC)
  • Portland, OR
  • NPI 1477005619
  Medicare reassignment Care Compare group NPD
• Legacy Clinics LLC

  • Clinic/Center
  • Portland, OR
  • NPI 1902827272
  Medicare reassignment
• Legacy Clinics LLC

  dba Legacy Medical Group Firwood

  • Rural Health Clinic/Center
  • Sandy, OR
  • NPI 1730472192
  NPD
• Outside in

  • Federally Qualified Health Center (FQHC)
  • Portland, OR
  • NPI 1063230480
  NPD
• Outside in

  • Federally Qualified Health Center (FQHC)
  • Portland, OR
  • NPI 1568401347
  NPD (past)
• Outside in

  dba Non Profit

  • Federally Qualified Health Center (FQHC)
  • Portland, OR
  • NPI 1972124196

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1679839302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 MAIN ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986632223",
            "telephone_number": "360-729-1458",
            "fax_number": "360-729-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 MAIN ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986632223",
            "telephone_number": "360-729-1458",
            "fax_number": "360-729-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENT",
        "first_name": "CARRIE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-06",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP60531519",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A 12442",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Killpack, DDS, P.C. (Affordable Dentures & Implants - Vancouver)
• Sheryl Elizabeth Kennon, B.S.
• John Stephen Kenny, DDS
• Kurt W Kenoyer, PA-C
• Ashrielle Kent
• Kara Kent, BA
• Victoria G Kenyon, RN
• Paul Manchester Keown, MD
• Angela Kepfer
• Sharon L Keranon, RC

• Family Medicine Physician in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.