Diabetes Management Northwest PS

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

RN00050644 Issued in WA

Legal business name

DIABETES MANAGEMENT NORTHWEST PS

Practice address

540 N West Ave
Arlington, WA 98223-1251

Phone

(360) 435-5365

Fax

(360) 474-1394

NPI assigned

Aug 16, 2006

Organization subpart

No

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

Authorized official

Name

Kitty L Carmichael

Title

Arnp

Phone

(360) 435-5365

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689787277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 N WEST AVE",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982231251",
            "telephone_number": "360-435-5365",
            "fax_number": "360-474-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 N WEST AVE",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982231251",
            "telephone_number": "360-435-5365",
            "fax_number": "360-474-1394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES MANAGEMENT NORTHWEST PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARMICHAEL",
        "authorized_official_first_name": "KITTY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ARNP",
        "authorized_official_telephone_number": "360-435-5365"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "WA",
            "license": "RN00050644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Legal Medicine in Arlington, WA
• Providers in Arlington, WA by specialty
• Legal Medicine in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.