Kathryn Leah Carlson, ND, LAC

Primary specialty

NaturopathTaxonomy code 175F00000X

License

NT60109144 Issued in WA

Practice address

10519 20TH St SE Ste 1
Lake Stevens, WA 98258-4769

Phone

(425) 397-4900

Fax

(425) 397-6900

NPI assigned

Oct 6, 2009

Last updated

Oct 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Edmark Chiropractic PLLC

  • Chiropractor
  • Lake Stevens, WA
  • NPI 1144699190
  NPD

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1881929016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18336 AURORA AVE N STE 105",
            "address_2": "UNIT 55072",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10519 20TH ST SE STE 1",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982584769",
            "telephone_number": "425-397-4900",
            "fax_number": "425-397-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "KATHRYN",
        "middle_name": "LEAH",
        "name_prefix": "Ms.",
        "credential": "ND, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-06",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC 60108707",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60109144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah Erin Callahan, LMFT
• Jennifer Rene Campbell, LMT
• John Campbell, LMFT
• Shawna Michelle Canas, LMT
• Caring Heart Clinical Delegation LLC
• Teagan Melise Carter
• Cascade Family Eye Care, PLLC
• Taylor Castano
• Darlene Castle, DC
• Caleb Spencer Casto

• Naturopath in Lake Stevens, WA
• Providers in Lake Stevens, WA by specialty
• Naturopath in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.