Skagit Pediatrics, LLP

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

SKAGIT PEDIATRICS, LLP

Practice address

2101 Little Mountain LN
Mount Vernon, WA 98274-8752

Phone

(360) 428-2622

Fax

(360) 428-3941

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Angelique Kissas

Title

Credentialing Specialist

Phone

(360) 542-1362

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carmela Marie Carrasco, M.D.

  • Pediatrics Physician
  • Mount Vernon, WA
  • NPI 1659799484
  NPD

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1992823744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 LITTLE MOUNTAIN LN",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982748752",
            "telephone_number": "360-428-2622",
            "fax_number": "360-428-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 LITTLE MOUNTAIN LN",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982748752",
            "telephone_number": "360-428-2622",
            "fax_number": "360-428-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKAGIT PEDIATRICS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KISSAS",
        "authorized_official_first_name": "ANGELIQUE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "360-542-1362"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7235807",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Skagit Hospice Services, LLC
• Skagit Island Rehabilitation Group
• Skagit Osteoporosis Detection Center
• Skagit OT Studio LLC
• Skagit Pathology, Inc, PS
• Skagit Preschool Association and Resource Center
• Skagit Radiology Inc P S
• Skagit Recovery Center
• Skagit Valley Family YMCA
• Skagit Valley Hospital

• Pediatrics Physician in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Pediatrics Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.