Individual provider Active NPI

Carol J Hughes King, OT

  • Occupational Therapist
  • Issaquah, WA
National Provider Identifier
1801882725
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT00000754 Issued in WA
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, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3596KIOtherWABLUE SHIELD
8396590MedicaidWA
KI2971OtherWABLUE SHIELD VM
8419830MedicaidWA
US0864551OtherWAAETNA 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

LicenseStateTypeSpecialty
OT00000754WAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eastside Children's Therapy Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.