Carrie Lee Tveidt, LMP

Primary specialty

ContractorTaxonomy code 171W00000X

License

MA00016922 Issued in WA

Practice address

9901 NE 7TH Ave Ste B232
Vancouver, WA 98685-4538

Phone

(360) 573-3500

Fax

(360) 573-3510

NPI assigned

May 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Carrie Lee Watson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871702423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9901 NE 7TH AVE STE B232",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986854538",
            "telephone_number": "360-573-3500",
            "fax_number": "360-573-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9901 NE 7TH AVE STE B232",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986854538",
            "telephone_number": "360-573-3500",
            "fax_number": "360-573-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TVEIDT",
        "first_name": "CARRIE",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "WA",
            "license": "MA00016922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "WATSON",
            "middle_name": "LEE",
            "prefix": "MS.",
            "credential": "LMP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Contractor in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Contractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.