K&S

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP30005937 Issued in WA

Legal business name

K&S

Doing business as

Walnut Grove Medical

Practice address

300 W 39TH St
Vancouver, WA 98660-1960

Phone

(360) 718-2515

Fax

(360) 993-1800

NPI assigned

Feb 29, 2012

Organization subpart

No

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

Authorized official

Name

Kelly Martene Bell, NP

Title

Partner

Phone

(360) 718-2515

Specialties & licenses 2

Addresses

Other names 1

• Walnut Grove Medical Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott Westley Pecora, N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, OR
  • NPI 1366576787
  NPD (past)

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1285908780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W 39TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986601960",
            "telephone_number": "360-718-2515",
            "fax_number": "360-993-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W 39TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986601960",
            "telephone_number": "360-718-2515",
            "fax_number": "360-993-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K&S",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "MARTENE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "360-718-2515",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30005937",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP30006359",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walnut Grove Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeanette I Juster, MD
• Karrie Ann Justice
• Lindsey Jane Justice
• Justin Welsh Counseling, PLLC
• Katy Justus, LICSWA
• Jessica Kaan, DO
• Kimberly Kabat
• Anil B Kabrawala, M.D.
• Thuy Lien Kabza, LMP
• Lara Kacherian, DDS

• Family Nurse Practitioner in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.