Individual provider Active NPI

John Walter Cartmell, CN

  • Nutritionist
  • Redmond, WA
National Provider Identifier
1992882187
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
NU00001711 Issued in WA
Practice address
8226 196TH Ave NE
Redmond, WA 98053-7536
Phone
(425) 883-7444
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X NU00001711 WA Primary

Addresses

Primary practice location

8226 196TH Ave NE
Redmond, WA 98053-7536

Mailing address

9805 Avondale Rd NE
Apt. H126
Redmond, WA 98052-2946
Phone (425) 883-7444

Other identifiers 1

IdentifierTypeStateIssuer
P100009554110001MedicaidWA

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
NU00001711WAMDNutritionist

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391472000000",
    "number": "1992882187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9805 AVONDALE RD NE",
            "address_2": "APT. H126",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980522946",
            "telephone_number": "425-883-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8226 196TH AVE NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980537536",
            "telephone_number": "425-883-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTMELL",
        "first_name": "JOHN",
        "middle_name": "WALTER",
        "name_prefix": "Mr.",
        "credential": "CN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2014-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "WA",
            "license": "NU00001711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P100009554110001",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.