NPIMap

Individual provider Active NPI

Colleen Anne Carette, P.A.-C

  • Physician Assistant
  • Tacoma, WA
National Provider Identifier
1700100385
Registry record updated Mar 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA10004756 Issued in WA
Practice address
1500 N. Warner St.
#1035
Tacoma, WA 98416-1035
Phone
(253) 879-1555
Fax
(253) 879-3766
NPI assigned
Mar 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA10004756 WA Primary

Addresses

Primary practice location

1500 N. Warner St.
#1035
Tacoma, WA 98416-1035

Mailing address

1500 N Warner St
#1035
Tacoma, WA 98416-1035
Phone (253) 879-1555

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
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA10004756WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Puget Sound Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269475200000",
    "number": "1700100385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N WARNER ST",
            "address_2": "#1035",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984161035",
            "telephone_number": "253-879-1555",
            "fax_number": "253-879-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N. WARNER ST.",
            "address_2": "#1035",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984161035",
            "telephone_number": "253-879-1555",
            "fax_number": "253-879-3766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARETTE",
        "first_name": "COLLEEN",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-25",
        "last_updated": "2010-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10004756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; 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.