Active NPI
Veronica Coromoto Carles
- Registered Dietitian
- Bellevue, WA
National Provider Identifier
1760936843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1043838
- Practice address
- 12410 NE 24TH St
Bellevue, WA 98005-1530 - Phone
- (206) 883-8319
- NPI assigned
- Aug 7, 2016
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1043838 | WA | Primary |
Addresses
Primary practice location
12410 NE 24TH St
Bellevue, WA 98005-1530
Mailing address
7458 NW 99TH CT
Doral, FL 33178-3429
Phone (206) 883-8310
Other practice location 1
7458 NW 99th Ct
Doral, FL 33178-3429
Phone (206) 883-8310
Other practice location 2
12040 NE 128th St
Evergreen Health MS-38
Kirkland, WA 98034-3013
Phone (425) 899-1550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NPI: 1205214889 | Other | WA | EVERGREEN HEALTH |
Other names 1
- Veronica Coromoto Carles Perez
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 |
|---|---|---|---|
| 1043838 | WA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vero Carles LLC | Dietitian, Registered | Current | 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": "1470528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682985600000",
"number": "1760936843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7458 NW 99TH CT",
"city": "DORAL",
"state": "FL",
"postal_code": "331783429",
"telephone_number": "206-883-8310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12410 NE 24TH ST",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980051530",
"telephone_number": "206-883-8319"
}
],
"practiceLocations": [
{
"address_1": "7458 NW 99th Ct",
"address_purpose": "LOCATION",
"city": "Doral",
"state": "FL",
"postal_code": "331783429",
"country_code": "US",
"telephone_number": "206-883-8310",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12040 NE 128th St",
"address_2": "Evergreen Health MS-38",
"address_purpose": "LOCATION",
"city": "Kirkland",
"state": "WA",
"postal_code": "980343013",
"country_code": "US",
"telephone_number": "425-899-1550",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARLES",
"first_name": "VERONICA",
"middle_name": "COROMOTO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-07",
"last_updated": "2023-05-02",
"certification_date": "2023-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "1043838",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERGREEN HEALTH",
"identifier": "NPI: 1205214889",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "VERONICA",
"last_name": "CARLES PEREZ",
"middle_name": "COROMOTO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.