Individual provider Active NPI

Shaily Arya, ARNP

  • Gerontology Nurse Practitioner
  • Issaquah, WA
National Provider Identifier
1124364906
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP60321803 Issued in WA
Practice address
805 Front St S
Issaquah, WA 98027-4205
Phone
(425) 392-1271
NPI assigned
Dec 22, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AP60321803 WA Primary

Addresses

Primary practice location

805 Front St S
Issaquah, WA 98027-4205

Mailing address

805 Front St S
Issaquah, WA 98027-4205
Phone (425) 392-1271

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130304000388 WA Practitioner - Nurse Practitioner 4183879802 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Medtriq LLCGroup PAC ID 9133348766, 6 clinicians
Cura HealthcareGroup PAC ID 5799143103, 81 clinicians

Practice addresses (Care Compare)

2603 Bridgeport Way W
Suite F
University Place, WA 98466-4724
Phone (253) 666-6780

5821 188TH St SW
Lynnwood, WA 98037-4304
Phone (505) 413-3719

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cura Healthcare CurrentSince Aug 15, 2025 Accepting new patients
Medtriq LLC CurrentSince Apr 1, 2025 Accepting new patients
Senior Healthcare Associates LLC CurrentSince Apr 20, 2025 Accepting new patients
Parabolic Health PLLC CurrentSince Apr 20, 2025 Accepting new patients
Jada Health Corporation Gerontology Past Accepting new patients

Locations

9000 Crow Canyon Rd
Ste S360
Danville, CA 94506
Phone (650) 438-8983

12819 SE 38th St
Bellevue, WA 98006
Phone (206) 595-8573

805 Front St S
Issaquah, WA 98027
Phone (206) 390-8645

5821 188th St SW
Lynnwood, WA 98037
Phone (425) 776-5512

7683 SE 27th St
Mercer Island, WA 98040
Phone (206) 228-8530

2603 Bridgeport Way W
Ste F
University Place, WA 98466
Phone (253) 564-4073

Interoperability endpoints

  • Direct secure messaging: sarya207525@ghc.direct-ci.net

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1356134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1124364906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 FRONT ST S",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980274205",
            "telephone_number": "425-392-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 FRONT ST S",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980274205",
            "telephone_number": "425-392-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARYA",
        "first_name": "SHAILY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-22",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WA",
            "license": "AP60321803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "805 Front St S",
            "city": "Issaquah",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980274205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

Verify at the official NPI Registry.