Active NPI
Keen Health & Wellness Services PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Seattle, WA
National Provider Identifier
1083314298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- KEEN HEALTH & WELLNESS SERVICES PLLC
- Practice address
- 2801 S Jackson St
Seattle, WA 98144-2443 - Phone
- (360) 649-4030
- NPI assigned
- Mar 7, 2023
- Last updated
- Mar 13, 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
- Dr. Keandra Lanae Thomposn, DNP, ARNP
- Title
- Owner/Provider
- Phone
- (360) 649-4030
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NU | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU | Primary |
Addresses
Primary practice location
2801 S Jackson St
Seattle, WA 98144-2443
Mailing address
446 NE Inspiration St
Poulsbo, WA 98370-4512
Phone (360) 551-5138
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2203211 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
2801 S Jackson St
Seattle, WA 98144
Phone (206) 329-9794
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Bremerton, WA
- NPI 1942969092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678665600000",
"number": "1083314298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "446 NE INSPIRATION ST",
"city": "POULSBO",
"state": "WA",
"postal_code": "983704512",
"telephone_number": "360-551-5138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 S JACKSON ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981442443",
"telephone_number": "360-649-4030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEEN HEALTH & WELLNESS SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-07",
"last_updated": "2023-03-13",
"certification_date": "2023-03-13",
"status": "A",
"authorized_official_last_name": "THOMPOSN",
"authorized_official_first_name": "KEANDRA",
"authorized_official_middle_name": "LANAE",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "360-649-4030",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DNP, ARNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2203211",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.