Carrie A Robles, L.M.P.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA00012158 Issued in WA

Practice address

5017 196TH St SW
Suite 209
Lynnwood, WA 98036-6123

Phone

(425) 712-8578

NPI assigned

Feb 27, 2007

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

Other names 1

• Ms. Carrie A Surridge Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750418885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2551",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980362551",
            "telephone_number": "425-712-8578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5017 196TH ST SW",
            "address_2": "SUITE 209",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366123",
            "telephone_number": "425-712-8578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBLES",
        "first_name": "CARRIE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "L.M.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00012158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "SURRIDGE",
            "middle_name": "A",
            "prefix": "MS.",
            "credential": "L.M.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brent M Robinson, DDS
• Cheryl Robinson, R.N.
• Donald William Robinson, DDS
• Michael Robinson
• Rachel Lynn Robison
• Nestor Rafael Rocha Palomera, DSHS-MED. INTERPRETE
• Janice Rockson
• Sidney Kay Rockwell-McCombs, M.A.
• Lauren Elizabeth Rodeheaver
• Kerry Kristen Rodgers, RN, BS

• Specialist in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.