Active NPI
Carole S Kalahar, ARNP
- Obstetrics & Gynecology Nurse Practitioner
- Sequim, WA
National Provider Identifier
1821063892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- AP30001494
- Practice address
- 808 N 5TH Ave
Sequim, WA 98382-3045 - Phone
- (360) 683-5900
- Fax
- (360) 582-4800
- NPI assigned
- Feb 22, 2006
- Last updated
- Nov 2, 2010
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP30001494 | WA | |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | AP30001494 | WA | Primary |
Addresses
Primary practice location
808 N 5TH Ave
Sequim, WA 98382-3045
Mailing address
808 N 5TH Ave
Sequim, WA 98382-3045
Phone (360) 683-5900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9601832 | Medicaid | WA | |
| 7111768 | Medicaid | WA |
Other names 1
- Carole I Skurbeck
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30001494 | WA | MD | Obstetrics & Gynecology Nurse Practitioner |
Interoperability endpoints
- ckalahar283242@wm.providencedirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288656000000",
"number": "1821063892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 N 5TH AVE",
"city": "SEQUIM",
"state": "WA",
"postal_code": "983823045",
"telephone_number": "360-683-5900",
"fax_number": "360-582-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 N 5TH AVE",
"city": "SEQUIM",
"state": "WA",
"postal_code": "983823045",
"telephone_number": "360-683-5900",
"fax_number": "360-582-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALAHAR",
"first_name": "CAROLE",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-22",
"last_updated": "2010-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP30001494",
"primary": false
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "WA",
"license": "AP30001494",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9601832",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7111768",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CAROLE",
"last_name": "SKURBECK",
"middle_name": "I",
"credential": "ARNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sequim, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.