Keesha Ewers, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP30006769 Issued in WA

Practice address

710 5TH Ave NW
Issaquah, WA 98027-2823

Phone

(425) 391-3376

NPI assigned

Jan 24, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 1, 2014 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: keesha.ewers@830875231059972.direct.elationemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fern Life Center LLC

  • Registered Nurse
  • Issaquah, WA
  • NPI 1285871657
  NPD (past) Authorized official
• Fern Life Center

  • Health Service Clinic/Center
  • Issaquah, WA
  • NPI 1245623024
  NPD (past)
• Jane L Scarff, Arnp, PS

  • Acute Care Nurse Practitioner
  • Renton, WA
  • NPI 1457547580

  Family

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258588800000",
    "number": "1083769772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25546 SE 159TH ST",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980278249",
            "telephone_number": "425-391-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 5TH AVE NW",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272823",
            "telephone_number": "425-391-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWERS",
        "first_name": "KEESHA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2009-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30006769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evergreen Endodontics PLLC
• Evergreen Urology Consultants LLC
• Bentley Richard Everingham, RNFA
• Iveta Everingham, RNFA
• Alyssa Joy Ewell, CF- SLP
• Eye Institute PC
• Eye Institute, PC
• Evangelia Nicole Facchine, RD CD
• Ryan Face, DPT
• Jean Elizabeth Falls, LMHC WASHINGTON

• Family Nurse Practitioner in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.