Reynard Carrie Jr.

Primary specialty

SpecialistTaxonomy code 174400000X

License

57181600 Issued in WA

Practice address

5305 NE 121St Ave Unit 114
Vancouver, WA 98682-6246

Phone

(360) 944-4554

Fax

(360) 256-3349

NPI assigned

Dec 18, 2013

Sex

Male

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

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

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387324800000",
    "number": "1922429844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5305 NE 121ST AVE UNIT 114",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986826246",
            "telephone_number": "360-944-4554",
            "fax_number": "360-256-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5305 NE 121ST AVE UNIT 114",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986826246",
            "telephone_number": "360-944-4554",
            "fax_number": "360-256-3349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRIE",
        "first_name": "REYNARD",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-18",
        "last_updated": "2013-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "57181600",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "491380990",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Carpenter, LCSW, MSW, LICSW
• Sharman Lee Carpenter, MS, NCC, LMHC
• Tahlia Monique Carpenter
• Christopher Sean Carr, LMP
• Antonio Jose Carrasco, MD, PHD
• Kelsey Anne Carrier
• Angelina Carrion-Epps
• Todd Crew Carris, DMD
• Melissa Day Carroll, LICSW
• Richard Peyton Carroll Jr., D.O.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; 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.