Individual provider Active NPI

Carla Mae Carnegie, MT-BC

  • Music Therapist
  • Otis Orchards, WA
National Provider Identifier
1992046288
Registry record updated Mar 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Music TherapistTaxonomy code 225A00000X
License
10286 Issued in PA
Practice address
5005 N Harvard Rd
Otis Orchards, WA 99027-9209
Phone
(509) 592-7875
NPI assigned
Mar 12, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Music Therapist 225A00000X 10286 PA Primary
Music Therapist 225A00000X 10286 WA

Addresses

Primary practice location

5005 N Harvard Rd
Otis Orchards, WA 99027-9209

Mailing address

5005 N Harvard Rd
Otis Orchards, WA 99027-9209
Phone (509) 592-7875

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

LicenseStateTypeSpecialty
10286PAMDMusic Therapist
10286WAMDMusic Therapist

NPI Registry JSON

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

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363046400000",
    "number": "1992046288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 N HARVARD RD",
            "city": "OTIS ORCHARDS",
            "state": "WA",
            "postal_code": "990279209",
            "telephone_number": "509-592-7875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 N HARVARD RD",
            "city": "OTIS ORCHARDS",
            "state": "WA",
            "postal_code": "990279209",
            "telephone_number": "509-592-7875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNEGIE",
        "first_name": "CARLA",
        "middle_name": "MAE",
        "credential": "MT-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-12",
        "last_updated": "2013-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "PA",
            "license": "10286",
            "primary": true
        },
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "WA",
            "license": "10286",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Otis Orchards, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.