Active NPI
Nicole Sechrist Carney, DPM
- Podiatrist
- Olympia, WA
National Provider Identifier
1871678748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO6YO
- Practice address
- 520 Lilly Rd NE
BLDG 1
Olympia, WA 98506-5255 - Phone
- (360) 438-9092
- Fax
- (360) 438-3906
- NPI assigned
- Oct 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO6YO | WA | Primary |
Addresses
Primary practice location
520 Lilly Rd NE
BLDG 1
Olympia, WA 98506-5255
Mailing address
520 Lilly Rd NE
BLDG 1
Olympia, WA 98506-5255
Phone (360) 438-9092
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CA2730 | Other | WA | REGENCE RIDER |
| 1109560 | Medicaid | WA |
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: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081003000394 | WA | Practitioner - Podiatry | 3375611585 | Practice locations: Olympia, WA |
| O20100930019058 | WA | DME Supplier - Physician - Podiatry | 6002937877 | Practice locations: Olympia, WA |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 1995
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
520 Lilly Rd NE
BLDG 1
Olympia, WA 98506-5255
Phone (360) 701-0430
Hospital & facility affiliations
- Providence St Peter Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 324 |
| Removal or shaving of skin growth | 152 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO6YO | WA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Neuromuscular Associates PC | Past | Accepting new patients | |
| Kelley a. Gillroy-Gill | Past | Accepting new patients |
Interoperability endpoints
- ncarney@1272.securemail.prognocis.com
Organizations & group practices 2
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.
-
- Foot & Ankle Surgery Podiatrist
- Olympia, WA
- NPI 1750775037
-
- Neurology Physician
- Olympia, WA
- NPI 1801818745
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Olympia, WA
- NPI 1346250594
-
- General Acute Care Hospital
- Olympia, WA
- NPI 1619176997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530748800000",
"number": "1871678748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 LILLY RD NE",
"address_2": "BLDG 1",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985065255",
"telephone_number": "360-438-9092",
"fax_number": "360-438-3906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 LILLY RD NE",
"address_2": "BLDG 1",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985065255",
"telephone_number": "360-438-9092",
"fax_number": "360-438-3906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARNEY",
"first_name": "NICOLE",
"middle_name": "SECHRIST",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-26",
"last_updated": "2018-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "WA",
"license": "PO6YO",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE RIDER",
"identifier": "CA2730",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1109560",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.