Mary S. Eklund, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP30003260 Issued in WA

Practice address

3240 14TH Ave NW
Olympia, WA 98502-8509

Phone

(360) 866-7990

NPI assigned

Oct 14, 2005

Last updated

Jul 12, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northwest Neuromuscular Associates PC

  • Neurology Physician
  • Olympia, WA
  • NPI 1801818745
  NPD (past)

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310428800000",
    "number": "1184613903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11789",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985081789",
            "telephone_number": "360-866-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 14TH AVE NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028509",
            "telephone_number": "360-866-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKLUND",
        "first_name": "MARY",
        "middle_name": "S.",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-14",
        "last_updated": "2011-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP30003260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9610544",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaila Michelle Eichhorn, BS, CDP
• Jenna Eidenmuller
• Andrew G Eisentrout, DPT
• Faiiletasi V.S. Ekeroma, M.A., LMFT
• Lindsey Louise Ekland
• Laurinda Rae Elgin, RNC MS NNP PNP FNP
• Nichole E Eliason, NUTRITIONAL THERAPY
• Wendy Eliason, SLP
• David R Elkins, PA
• Lauren Elle, LMP

• Nurse Practitioner in Olympia, WA
• Providers in Olympia, WA by specialty
• Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; 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.