Provider Demographics
NPI:1982673463
Name:CARTER, CATHERINE E (FNP)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:E
Last Name:CARTER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:E
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP, RN
Mailing Address - Street 1:12360 LAKE CITY WAY NE STE 200
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-5447
Mailing Address - Country:US
Mailing Address - Phone:206-384-4382
Mailing Address - Fax:206-440-3137
Practice Address - Street 1:12360 LAKE CITY WAY NE STE 200
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-5447
Practice Address - Country:US
Practice Address - Phone:206-384-4382
Practice Address - Fax:206-440-3137
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30006378363LF0000X
OR363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR270021Medicaid
ORA3503 H9OtherPACIFIC SOURCE HEALTH PLA
WAMC1274327OtherDEA
WAVAD000Medicare UPIN