Kristie Marie Andreas, FNP
Individual provider Active NPI Family Nurse Practitioner · Cathlamet, WA
NPI 1124308408 · NPPES record last updated Aug 5, 2022
Key facts
- NPI
- 1124308408
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP60600960 (WA)
- Practice address
- 335 Una Ave
Cathlamet, WA 98612-9583 - Phone
- (360) 795-3201
- Fax
- (360) 795-3209
- NPI assigned
- Aug 18, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Cowlitz Family Health Center
Practice addresses (Care Compare)
1057 12TH Ave
Longview, WA 98632-2509
Phone (360) 636-3892
139 1St Ave SW
Castle Rock, WA 98611-0009
Phone (360) 274-2353
335 Una Ave
Cathlamet, WA 98612-9583
Phone (360) 795-3201
Hospital & facility affiliations
- Peacehealth St John Medical Center
- Columbia Memorial Hospital
- Peacehealth Southwest Medical Cente
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170517002088 | WA | Practitioner - Nurse Practitioner | 8426375221 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP60600960 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cowlitz Family Health Center | Current |
Accepting new patients | |
| Cowlitz Family Health Center | Current |
Accepting new patients | |
| Cowlitz Family Health Center | Current | Accepting new patients | |
| Cowlitz Family Health Center | Past | Accepting new patients |
Locations
335 Una Ave
Cathlamet, WA 98612
Phone (360) 795-3201
1057 12th Ave
Longview, WA 98632
Phone (360) 636-3892
Interoperability endpoints
- kandreas186362@direct.ochin.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP60600960 | WA | Yes |
Addresses
Primary practice location
335 Una Ave
Cathlamet, WA 98612-9583
Mailing address
1057 12TH Ave
Longview, WA 98632-2509
Phone (360) 353-3256
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2079385 | Medicaid | WA |
Other providers in Cathlamet, WA
- Richie Allen
- Jennifer Dugan Anderson
- Linda J Bannerman
- Mary Danelle Barlow
- Alexander K Bell
- Corey Coleman Blankenship
- Brighton Diversion Services Inc.
All providers in Cathlamet, 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 Aug 5, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.