Active NPI
Larry Eugene Kerschner, A.R.N.P.
- Family Nurse Practitioner
- Pe Ell, WA
National Provider Identifier
1124059530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP30001759
- Practice address
- 402 North Main Street
Pe Ell, WA 98572-0158 - Phone
- (360) 291-3232
- Fax
- (360) 291-3144
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP30001759 | WA | Primary |
Addresses
Primary practice location
402 North Main Street
Pe Ell, WA 98572-0158
Mailing address
PO Box 158
402 North Main Street
Pe Ell, WA 98572-0158
Phone (360) 291-3232
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30001759 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lewis County Community Health Services | Past | Accepting new patients | |
| Lewis County Community Health Services | Past | Accepting new patients | |
| L G Steck Memorial Clinic P S | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Steck Medical Group
- Multi-Specialty Clinic/Center
- Chehalis, WA
- NPI 1710929252
-
dba Valley View Health Center - Pe Ell
- Federally Qualified Health Center (FQHC)
- Pe Ell, WA
- NPI 1548520059
-
dba Valley View Health Center - Centralia
- Federally Qualified Health Center (FQHC)
- Centralia, WA
- NPI 1811669658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202083200000",
"number": "1124059530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 158",
"address_2": "402 NORTH MAIN STREET",
"city": "PE ELL",
"state": "WA",
"postal_code": "985720158",
"telephone_number": "360-291-3232",
"fax_number": "360-291-3144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 NORTH MAIN STREET",
"city": "PE ELL",
"state": "WA",
"postal_code": "985720158",
"telephone_number": "360-291-3232",
"fax_number": "360-291-3144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERSCHNER",
"first_name": "LARRY",
"middle_name": "EUGENE",
"name_prefix": "Mr.",
"credential": "A.R.N.P.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2008-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP30001759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pe Ell, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.