Active NPI
Jill A Carter, LMT
- Specialist
- Marysville, WA
National Provider Identifier
1689913329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA00015541
- Practice address
- 1241 State Ave
#103
Marysville, WA 98270-3612 - Phone
- (360) 659-9659
- Fax
- (360) 548-4057
- NPI assigned
- Jan 31, 2013
- Last updated
- Apr 6, 2015
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA00015541 | WA | Primary |
Addresses
Primary practice location
1241 State Ave
#103
Marysville, WA 98270-3612
Mailing address
1241 State Ave
#103
Marysville, WA 98270-3612
Phone (360) 659-9659
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 |
|---|---|---|---|
| MA00015541 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428278400000",
"number": "1689913329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1241 STATE AVE",
"address_2": "#103",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982703612",
"telephone_number": "360-659-9659",
"fax_number": "360-548-4057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1241 STATE AVE",
"address_2": "#103",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982703612",
"telephone_number": "360-659-9659",
"fax_number": "360-548-4057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "JILL",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-31",
"last_updated": "2015-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA00015541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marysville, WA
- Caring Grove Adult Family Home
- Leora Carlson, RN
- Lluvia Annette Carreon
- Martha Carriere, BA, RC
- Briana Jeanne Carroll, LMP
- Cascade Kids Dentist
- Cascade Medical Investors Limited Partnership (Marysville Care Center)
- Cascade Nurse Delegating LLC
- Cascadia Clinic LLC (Cascadia Chiropractic and Massage)
- Diane L Cashman, ARNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.