Active NPI
Clara Ann Carson, REGISTERED NURSE
- General Practice Registered Nurse
- Keller, WA
National Provider Identifier
1982102315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- License
- RN00143746
- Practice address
- PO Box 275
Keller, WA 99140-0275 - Phone
- (509) 634-7313
- Fax
- (509) 634-7301
- NPI assigned
- Jan 31, 2018
- Last updated
- Jan 31, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | RN00143746 | WA | Primary |
Addresses
Primary practice location
PO Box 275
Keller, WA 99140-0275
Mailing address
PO Box 173
Elmer City, WA 99124-0173
Phone (509) 633-9724
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN00143746 | WA | MD | General Practice Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517356800000",
"number": "1982102315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 173",
"city": "ELMER CITY",
"state": "WA",
"postal_code": "991240173",
"telephone_number": "509-633-9724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 275",
"city": "KELLER",
"state": "WA",
"postal_code": "991400275",
"telephone_number": "509-634-7313",
"fax_number": "509-634-7301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARSON",
"first_name": "CLARA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "REGISTERED NURSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-31",
"last_updated": "2018-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "WA",
"license": "RN00143746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Keller, WA
- Hope E Achenbach, RN
- Colville Nation Community Health Centers (Lake Roosevelt Community Health Centers Pharmacy)
- Confederated Tribes of the Colville Reservation (San Poil Health Center Pharmacy)
- Confederated Tribes of the Colville Reservation (San Poil Treatment Center)
- Sheri Gray, RN
- Keller School District
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.