Carly Anderson

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI61129013 Issued in WA

Practice address

16404 Smokey Point Blvd Ste 308
Arlington, WA 98223-7060

Phone

(360) 739-1278

NPI assigned

Apr 30, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sierra Infectious Diseases Parker & Yee Apc

  • Specialist
  • Reno, NV
  • NPI 1174725410
  NPD (past)

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1700469301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15417 CHANNEL DR",
            "city": "LA CONNER",
            "state": "WA",
            "postal_code": "982574739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16404 SMOKEY POINT BLVD STE 308",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982237060",
            "telephone_number": "360-739-1278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Old Fairhaven Pkwy Ste 303",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982257446",
            "country_code": "US",
            "telephone_number": "360-739-1278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CARLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI61129013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Amador
• Amanii Health Care PLLC
• Patrick Gerard Diamante Amar, PT
• Elaine C Andersen, PT
• Anderson Physical Therapy
• Doris Evelyn Anderson, LPN
• Jared M Anderson, MD
• Joel W Anderson, DPT,MOMT,PHD,FAAOMPT
• Matthew Aaron Anderson, MD
• Jennifer Lynn Anspach, CCC-SLP

• Registered Dietitian in Arlington, WA
• Providers in Arlington, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.