Individual provider Active NPI

Veronica Coromoto Carles

  • Registered Dietitian
  • Bellevue, WA
National Provider Identifier
1760936843
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1043838 Issued in WA
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

Updated by the provider on May 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
NPI: 1205214889OtherWAEVERGREEN HEALTH

Other names 1

  • Veronica Coromoto Carles Perez Former name

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

LicenseStateTypeSpecialty
1043838WAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Vero Carles LLC Dietitian, Registered CurrentSince Mar 1, 2023 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.

Verify at the official NPI Registry.