Individual ProviderMartha Anne CarlsteadNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1100 9th Ave, Department Of Anesthesia, Seattle, WA 98101-2756(206) 223-6604(206) 515-5811PECOS EnrollmentBased on the most recent information from CMS, provider Martha Anne Carlstead does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1134374887Provider TypeIndividualFull NameCarlstead, Martha AnneCredentialRNGenderFemaleSole ProprietorNoEnumeration Date11/21/2008Last Updated10/17/2017Contact InformationPractice LocationPractice Address1100 9th Ave, Department Of Anesthesia, Seattle, WA 98101-2756Phone(206) 223-6604FaxUnlisted FaxMailing LocationMailing Address1100 9th Ave, Seattle, WA 98101-2756Phone(206) 515-5811FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode367500000XPrimaryDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAP60067551WashingtonCode163W00000XDescriptionRegistered NurseNursing Service ProvidersLicenseRN00107399WashingtonCode163W00000XDescriptionRegistered NurseNursing Service ProvidersLicense274727MassachusettsProvider IdentifiersIDDescriptionIssuerID0251137DescriptionOtherIssuerL AND IID1134374887DescriptionMedicaidIssuerUnlistedMontana