Active NPI
Carly Hu
- Primary Care Nurse Practitioner
- Seattle, WA
National Provider Identifier
1770124760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- AP61385531
- Practice address
- 7114 32ND Ave SW
Seattle, WA 98126-3335 - Phone
- (765) 760-0502
- NPI assigned
- Oct 1, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 93942 | HI | |
| Primary Care Nurse Practitioner | 363LP2300X | AP61385531 | WA | Primary |
Addresses
Primary practice location
7114 32ND Ave SW
Seattle, WA 98126-3335
Mailing address
7114 32ND Ave SW
Seattle, WA 98126-3335
Phone (765) 760-0502
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770124760 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 93942 | HI | MD | School Registered Nurse |
| AP61385531 | WA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sinuclear Washington PC | Current | Accepting new patients |
Locations
15910 Ventura Blvd
Ste 1510
Encino, CA 91436
Phone (310) 278-9171
100 N Howard St
Spokane, WA 99201
Phone (206) 201-1163
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.
-
- Otolaryngology Physician
- Spokane, WA
- NPI 1386400463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670544000000",
"number": "1770124760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7114 32ND AVE SW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981263335",
"telephone_number": "765-760-0502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7114 32ND AVE SW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981263335",
"telephone_number": "765-760-0502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HU",
"first_name": "CARLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-01",
"last_updated": "2022-12-09",
"certification_date": "2022-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "HI",
"license": "93942",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "WA",
"license": "AP61385531",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1770124760",
"state": "HI"
}
],
"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 Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.