Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497130207 Individual Practitioner Female Practitioner

Jaqulyn Nikole Carrell , MED, ATC, LAT, CKTP

Specialist • Seattle, WA

Professional Overview & Biography Verified Profile Summary

Jaqulyn Carrell, MED, ATC, LAT, CKTP is a registered healthcare professional specializing in Specialist in Seattle, WA. Practice services are available at 3910 MONTLAKE BLVD NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3910 Montlake Blvd Ne

Seattle, WA 981950001

Telephone 3172868881

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Seattle, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 35.8 Yrs
State Avg: 35.4 Yrs
Regional Practice Density
366 Specialists

Practicing in Seattle, WA (2751 Statewide)

Telehealth Adoption Rate
0.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License WA A1 60486324

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 22, 2015

NPI status registered as active in NPPES database

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Updated Practice Location July 22, 2015

Registered at 3910 MONTLAKE BLVD NE, SEATTLE, WA 981950001 (Tel: 3172868881)

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Updated Business Mailing Address July 22, 2015

Registered at 1190 HIGHLAND LAKE WAY, BROWNSBURG, IN 461127833 (Tel: 3172868881)

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Provider Name / Credentials Updated July 22, 2015

Recorded as JAQULYN CARRELL, M.ED, ATC, LAT, CKTP

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2015

Specialist (License #A1 60486324 in WA)

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Initial NPI Registration & Enumeration July 22, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497130207
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 22, 2015
Last Update: July 22, 2015
Sole Proprietor: Yes

Mailing Address

1190 Highland Lake Way

Brownsburg, IN 461127833

Phone: 3172868881

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.