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

Dr. Kaydee Diana Carroll, FNP

Individual provider Family Nurse Practitioner · NPI 1255913133

Dr. Kaydee Diana Carroll, FNP is a Nurse Practitioner in Spokane, Washington. Qualified in 2020, 6 years ago. Practices with Providence Health and Services Washington, a 54-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona, Nevada and Washington.

Years since qualifying
6
Licensed in
AZ, NV, WA
In the registry since
2021
Specialties on file
3
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

212 E Central Ave Ste 240
Spokane, WA 99208-6597
Phone: (509) 455-8820
Fax: (509) 838-4978
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 37100 N Gantzel Rd, San Tan Valley, AZ 85140-7349 — (480) 821-3600

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP61145804 (WA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 833365 (NV)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 256053 (AZ)

Record details

NPI number1255913133
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedApril 21, 2021
Last updated in NPPESMay 12, 2025
Certification dateApril 23, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Providence Health And Services Washington — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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