Active NPI
Carol J Hughes King, OT
- Occupational Therapist
- Issaquah, WA
National Provider Identifier
1801882725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT00000754
- Practice address
- 710 NW Juniper St
Suite 106
Issaquah, WA 98027-2717 - Phone
- (425) 392-2346
- Fax
- (425) 392-0185
- NPI assigned
- Sep 26, 2005
- Last updated
- May 30, 2008
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT00000754 | WA | Primary |
Addresses
Primary practice location
710 NW Juniper St
Suite 106
Issaquah, WA 98027-2717
Mailing address
PO Box 819
Orting, WA 98360-0819
Phone (360) 893-6576
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3596KI | Other | WA | BLUE SHIELD |
| 8396590 | Medicaid | WA | |
| KI2971 | Other | WA | BLUE SHIELD VM |
| 8419830 | Medicaid | WA | |
| US0864551 | Other | WA | AETNA SPECIALIST PIN VM |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT00000754 | WA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastside Children's Therapy | Past | Accepting new patients |
Interoperability endpoints
- carol.king@direct.vmmc.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatric Occupational Therapist
- Issaquah, WA
- NPI 1902808942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212105600000",
"number": "1801882725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 819",
"city": "ORTING",
"state": "WA",
"postal_code": "983600819",
"telephone_number": "360-893-6576",
"fax_number": "800-661-0688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 NW JUNIPER ST",
"address_2": "SUITE 106",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980272717",
"telephone_number": "425-392-2346",
"fax_number": "425-392-0185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUGHES KING",
"first_name": "CAROL",
"middle_name": "J",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-26",
"last_updated": "2008-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT00000754",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "3596KI",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8396590",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD VM",
"identifier": "KI2971",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8419830",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA SPECIALIST PIN VM",
"identifier": "US0864551",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.