NPIMap

Individual provider Active NPI

Karen Lisa Arndt, ARNP

  • Family Nurse Practitioner
  • Montesano, WA
National Provider Identifier
1104995596
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP30003364 Issued in WA
Practice address
112 E Broadway Ave
Montesano, WA 98563-3704
Phone
(360) 249-4111
Fax
(360) 249-5220
NPI assigned
Nov 7, 2006
Last updated
Oct 23, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP30003364 WA Primary

Addresses

Primary practice location

112 E Broadway Ave
Montesano, WA 98563-3704

Mailing address

112 E Broadway Ave
Montesano, WA 98563-3704
Phone (360) 249-4111

Other identifiers 1

IdentifierTypeStateIssuer
9612227MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101015000403 WA Practitioner - Nurse Practitioner 9830382498 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

112 E Broadway Ave
Montesano, WA 98563-3704
Phone (360) 249-4111

3920 Capital Mall Dr SW
Suite 200
Olympia, WA 98502-8701
Phone (360) 459-7282

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Montesano Internal Medicine, PS CurrentSince Oct 3, 2000 Accepting new patients
Capital Medical Center Physicians LLC CurrentSince Apr 1, 2024 Accepting new patients
Capital Medical Center Physicians LLC CurrentSince Apr 1, 2024 Accepting new patients
Olympia Family Medicine, Inc. Past Accepting new patients

Locations

112 E Broadway Ave
Montesano, WA 98563
Phone (360) 249-4111

3920 Capital Mall Dr SW
Ste 200
Olympia, WA 98502
Phone (360) 459-7282

Interoperability endpoints

  • Direct secure messaging: karen.arndt.p1@direct.jail-grays-harbor.nextgenshare.com
  • Direct secure messaging: karndt584845@direct.multicare.org

Organizations & group practices 4

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

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193097600000",
    "number": "1104995596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 E BROADWAY AVE",
            "city": "MONTESANO",
            "state": "WA",
            "postal_code": "985633704",
            "telephone_number": "360-249-4111",
            "fax_number": "360-249-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E BROADWAY AVE",
            "city": "MONTESANO",
            "state": "WA",
            "postal_code": "985633704",
            "telephone_number": "360-249-4111",
            "fax_number": "360-249-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNDT",
        "first_name": "KAREN",
        "middle_name": "LISA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30003364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9612227",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montesano, WA

Sources for this page

Verify at the official NPI Registry.