Carol is a 2019 Seattle Met Top Doctor Award winner. Carol A. Birch, MSN, ARNP, FNP-BC, is a board-certified family nurse practitioner. Her specialty experience includes medical, surgical, cardiology, primary care, urgent care, occupational care, endocrinopathies and bariatrics. Carol received her Bachelor of Science in registered nursing from California State University, Sacramento. She went on to complete her advanced registered nurse practitioner, and Master of Science in nursing from Seattle Pacific University. She is an active member of the Obesity Medicine Association. She focuses on managing the chronic disease of excess weight through individualized care that emphasizes positive changes in lifestyle, ongoing medical support, accountability and, when appropriate, using medications. Carol is cross-trained in the management of Lap Band adjustments and postoperative bariatric surgery medical management. She believes long-term success is possible for individuals who are mindful and committed to sustaining positive changes in their lifestyle.After hours, Carol enjoys playing with her dog Marcello, photography, landscaping, eating good food, kayaking, swimming, horseback riding, beach walking, flying a private plane and meeting the needs of those less fortunate.