Active NPI
Craig Ashley Nattkemper, D.O
- Emergency Medicine Physician
- Olympia, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- OP60037377
- Practice address
- 700 Lilly Rd NE
Olympia, WA 98506-5115 - Phone
- (360) 923-7000
- Fax
- (360) 923-7089
- NPI assigned
- Apr 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2017043979 | MO | |
| Emergency Medicine Physician | 207P00000X | 2737 | WV | |
| Emergency Medicine Physician | 207P00000X | 20A8234 | CA | |
| Emergency Medicine Physician | 207P00000X | OP60037377 | WA | Primary |
Addresses
Primary practice location
700 Lilly Rd NE
Olympia, WA 98506-5115
Mailing address
700 Lilly Rd NE
Olympia, WA 98506-5196
Phone (360) 923-7000
Other practice location 1
800 Garfield Ave
Parkersburg, WV 26101-5376
Phone (304) 424-2355
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00AX82340 | Medicaid | CA |
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cnattkemper106173@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | cnattkemper106173@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | cnattkemper106173@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| 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 CA, WA, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Western University of Health Sciences College of Dental Med, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
700 Lilly Rd NE
Olympia, WA 98506-5115
Phone (360) 923-7000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017043979 | MO | MD | Emergency Medicine Physician |
| OP60037377 | WA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Emergency Medicine | Current | Accepting new patients |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| West Virginia University Hospitals, Inc | Emergency Medicine | Past | Accepting new patients |
| Epmg of Michigan, P.C. | Emergency Medicine | Past | Accepting new patients |
Locations
25825 Vermont Ave
Harbor City, CA 90710
Phone (310) 325-5111
10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328
901 E 5th St
Washington, MO 63090
Phone (636) 239-8000
700 Lilly Rd NE
Olympia, WA 98506
Phone (360) 923-7000
19379 7th Ave NE
Poulsbo, WA 98370
Phone (360) 394-1000
200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530
9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800
Interoperability endpoints
- cnattkemper3679499@ghc.direct-ci.net
Organizations & group practices 9
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.
-
- Multi-Specialty Clinic/Center
- Seattle, WA
- NPI 1396810701
-
dba Mercy Hospital Washington
- General Acute Care Hospital
- Washington, MO
- NPI 1285664177
Emergency Medicine
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
-
dba Nep
- Emergency Medicine Physician
- Arlington, WA
- NPI 1235172370
-
- Multi-Specialty Clinic/Center
- Renton, WA
- NPI 1124264577
-
dba Everett Medical Center
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1386935351
-
dba Mercy Hospital Washington McAuley Clinic
- Rural Health Clinic/Center
- Washington, MO
- NPI 1104912997
-
- Emergency Medicine Physician
- Livonia, MI
- NPI 1386688992
-
dba WVUH Professional Group
- Emergency Medicine Physician
- Morgantown, WV
- NPI 1740763952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650412800000",
"number": "1225091507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 LILLY RD NE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985065196",
"telephone_number": "360-923-7000",
"fax_number": "360-923-7089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 LILLY RD NE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985065115",
"telephone_number": "360-923-7000",
"fax_number": "360-923-7089"
}
],
"practiceLocations": [
{
"address_1": "800 Garfield Ave",
"address_purpose": "LOCATION",
"city": "Parkersburg",
"state": "WV",
"postal_code": "261015376",
"country_code": "US",
"telephone_number": "304-424-2355",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NATTKEMPER",
"first_name": "CRAIG",
"middle_name": "ASHLEY",
"credential": "D.O",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-08",
"last_updated": "2022-04-20",
"certification_date": "2022-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "2017043979",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WV",
"license": "2737",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "20A8234",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WA",
"license": "OP60037377",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00AX82340",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cnattkemper106173@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "800 Garfield Ave",
"city": "Parkersburg",
"state": "WV",
"country_code": "US",
"postal_code": "261015376",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cnattkemper106173@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "800 Garfield Ave",
"city": "Parkersburg",
"state": "WV",
"country_code": "US",
"postal_code": "261015376",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cnattkemper106173@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "800 Garfield Ave",
"city": "Parkersburg",
"state": "WV",
"country_code": "US",
"postal_code": "261015376",
"country_name": "United States",
"address_type": "DOM"
},
{
"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": "700 Lilly Rd NE",
"city": "Olympia",
"state": "WA",
"country_code": "US",
"postal_code": "985065115",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.