Active NPI
Natalie Jean Keilholz, ARNP
- Nurse Practitioner
- Seattle, WA
National Provider Identifier
1154437796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP30007161
- Practice address
- 501 N 34TH St
Suite 101
Seattle, WA 98103-8856 - Phone
- (206) 838-1777
- Fax
- (206) 838-1771
- NPI assigned
- Aug 23, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP30007161 | WA | Primary |
Addresses
Primary practice location
501 N 34TH St
Suite 101
Seattle, WA 98103-8856
Mailing address
PO Box 34888
Seattle, WA 98124-1888
Phone (425) 977-4620
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0212662 | Other | WA | LABOR AND INDUSTRIES |
| 1003740 | Medicaid | WA |
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395619200000",
"number": "1154437796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34888",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241888",
"telephone_number": "425-977-4620",
"fax_number": "425-745-9836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 N 34TH ST",
"address_2": "SUITE 101",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981038856",
"telephone_number": "206-838-1777",
"fax_number": "206-838-1771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEILHOLZ",
"first_name": "NATALIE",
"middle_name": "JEAN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2014-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP30007161",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES",
"identifier": "0212662",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003740",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.