Active NPI
Brenda Arleen Carlock, RN, BSN
- Registered Nurse
- Seattle, WA
National Provider Identifier
1740537570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN 00110411
- Practice address
- 4515 Martin Luther King Jr Way S
Ste 100
Seattle, WA 98108-2182 - Phone
- (206) 320-5325
- NPI assigned
- Aug 10, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN 00110411 | WA | Primary |
Addresses
Primary practice location
4515 Martin Luther King Jr Way S
Ste 100
Seattle, WA 98108-2182
Mailing address
4515 Martin Luther King Jr Way S
Ste 100
Seattle, WA 98108-2182
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
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 00110411 | WA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services - Washington | 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.
-
- Exclusive Provider Organization
- Seattle, WA
- NPI 1881681518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344556800000",
"number": "1740537570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4515 MARTIN LUTHER KING JR WAY S",
"address_2": "STE 100",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981082182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4515 MARTIN LUTHER KING JR WAY S",
"address_2": "STE 100",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981082182",
"telephone_number": "206-320-5325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLOCK",
"first_name": "BRENDA",
"middle_name": "ARLEEN",
"credential": "RN, BSN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-10",
"last_updated": "2012-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN 00110411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.