Brooke Casipit
Individual provider Active NPI Family Nurse Practitioner · Kenmore, WA
NPI 1093010100 · NPPES record last updated Oct 16, 2012
Key facts
- NPI
- 1093010100
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP60169843 (WA)
- Practice address
- 17511 68TH Ave NE
Suite C
Kenmore, WA 98028-2504 - Phone
- (425) 486-8300
- NPI assigned
- Jan 20, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Careplus Medical Centers, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP60169843 | WA | Yes |
Addresses
Primary practice location
17511 68TH Ave NE
Suite C
Kenmore, WA 98028-2504
Mailing address
17511 68TH Ave NE
Suite C
Kenmore, WA 98028-2504
Phone (425) 486-8300
Other providers in Kenmore, WA
- Hannah Carlsrud
- Carol Lin DDS, PLLC
- Peter Keith Carr
- Wayne E Carr
- Isabela Carvajal
- Cedar Park Counseling Network
- Kati Yim Men Chan
- Channels of Qi Acupuncture
- Kellie A Cheever
- Teresa Lai Shan Chu
All providers in Kenmore, WA · Family Nurse Practitioner in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.