Willow Fibromyalgia and Hypermobility Clinic PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP30006987 Issued in WA

Legal business name

WILLOW FIBROMYALGIA AND HYPERMOBILITY CLINIC PLLC

Practice address

4520 Fauntleroy Way SW
Seattle, WA 98126-2740

Phone

(206) 734-4981

Fax

(888) 734-4981

NPI assigned

Nov 11, 2016

Organization subpart

No

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

Authorized official

Name

Medea Karr, ARNPNPI 1487719597

Title

Owner

Phone

(206) 734-4981

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Medea Reverelly Karr, N.P.

  • Family Nurse Practitioner
  • Seattle, WA
  • NPI 1487719597
  NPD (past) Authorized official
• Laura Michelle Cain, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Edmonds, WA
  • NPI 1457841975

  Family

  NPD (past)

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

{
    "created_epoch": "1478822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478822400000",
    "number": "1114469855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 FAUNTLEROY WAY SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981262740",
            "telephone_number": "206-734-4981",
            "fax_number": "888-734-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 FAUNTLEROY WAY SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981262740",
            "telephone_number": "206-734-4981",
            "fax_number": "888-734-4981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW FIBROMYALGIA AND HYPERMOBILITY CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-11",
        "last_updated": "2016-11-11",
        "status": "A",
        "authorized_official_last_name": "KARR",
        "authorized_official_first_name": "MEDEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-734-4981",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30006987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9659145",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PROVIDER NPI FOR MEDEA KARR ARNP",
            "identifier": "1487719597",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ykeisha M Willis
• Aron Willits, BAS
• Piera M Willner, M.S., CCC-SLP
• Katie Willott, MA
• Willow Behavior Therapy LLC
• Willow Roots Therapy
• Dov Elise Wills
• Howard Willson, MD
• Richard Atwood Willson, MD
• Kathy J Wilmering, MSW ARNP

• Family Nurse Practitioner in Seattle, WA
• Providers in Seattle, 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 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.