Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carrie Peacock, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1912309295

Carrie Peacock, PA-C is a Physician Assistant in Spokane, Washington. Qualified in 2015, 11 years ago. Practices with Providence Health and Services Washington, a 776-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
11
Licensed in
WA
In the registry since
2014
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

820 S McClellan St Ste 300
Spokane, WA 99204-2450
Phone: (509) 838-7100
Fax: (509) 227-7070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 105 W 8th Ave, Spokane, WA 99204-2302 — (509) 624-9112

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60604817 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1912309295
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 18, 2014
Last updated in NPPESJuly 13, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Providence Health And Services Washington — 776 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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