MS. CAROLINE MARIE STUART PA-C MPAS ATC NPI 1902293756

NPI Information

NPI: 1902293756
Provider Name: MS. CAROLINE MARIE STUART, PA-C, MPAS, ATC
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
16528 E DESMET CT STE B2200
SPOKANE VALLEY, WA
ZIP 99216
Phone: (509) 944-8920
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MS. Caroline Marie Stuart, PA-C, MPAS, ATC is a surgical physician assistant in Spokane Valley, WA with 4 years of experience. MS. Caroline Marie Stuart, PA-C, MPAS, ATC NPI is 1902293756. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

16528 E DESMET CT STE B2200
SPOKANE VALLEY, WA
ZIP 99216-522
Phone: (509) 944-8920

The NPI 1902293756 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/20/2015 and was last updated on 1/3/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2255A2300X	Specialist/Technologist	Athletic Trainer			No
2	363A00000X	Physician Assistant		PA61116968	WASHINGTON	No
3	363A00000X	Physician Assistant			IDAHO	No
4	363A00000X	Physician Assistant				No
5	363A00000X	Physician Assistant		PA-2010	IDAHO	No
6	363AM0700X	Physician Assistant	Medical	PA-2010	IDAHO	No
7	363AS0400X	Physician Assistant	Surgical	PA-2010	IDAHO	No
8	363AS0400X	Physician Assistant	Surgical	PA61116968	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1902293756	MEDICAID	IDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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