Active NPI
Keybridge Health Supplies LLC
- Durable Medical Equipment & Medical Supplies
- Olympia, WA
National Provider Identifier
1023893658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- KEYBRIDGE HEALTH SUPPLIES LLC
- Practice address
- 3516 7TH Ave SW
Olympia, WA 98502-5011 - Phone
- (646) 671-9790
- Fax
- (253) 444-0533
- NPI assigned
- Aug 30, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kerbie Salvador A Barrantes
- Title
- Owner
- Phone
- (646) 671-9790
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
3516 7TH Ave SW
Olympia, WA 98502-5011
Mailing address
3516 7TH Ave SW
Olympia, WA 98502-5011
Phone (646) 671-9790
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Lakewood, WA
- NPI 1649800426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693353600000",
"number": "1023893658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3516 7TH AVE SW",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985025011",
"telephone_number": "646-671-9790",
"fax_number": "253-444-0533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3516 7TH AVE SW",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985025011",
"telephone_number": "646-671-9790",
"fax_number": "253-444-0533"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEYBRIDGE HEALTH SUPPLIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-30",
"last_updated": "2023-08-30",
"certification_date": "2023-08-30",
"status": "A",
"authorized_official_last_name": "BARRANTES",
"authorized_official_first_name": "KERBIE SALVADOR",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "646-671-9790",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.