Active NPI
Katelyn Ann Rowland, ARNP
- Family Nurse Practitioner
- Mill Creek, WA
National Provider Identifier
1295005809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP60244937
- Practice address
- 15906 Mill Creek Blvd
Ste 105
Mill Creek, WA 98012-1797 - Phone
- (425) 385-2009
- Fax
- (425) 939-0807
- NPI assigned
- Jan 12, 2012
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP60244937 | WA | Primary |
Addresses
Primary practice location
15906 Mill Creek Blvd
Ste 105
Mill Creek, WA 98012-1797
Mailing address
15906 Mill Creek Blvd,
Ste 105
Mill Creek, WA 98012-1797
Phone (425) 385-2009
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP60244937 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silver Falls Dermatology, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dermatology Physician
- Salem, OR
- NPI 1134375421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506470400000",
"number": "1295005809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15906 MILL CREEK BLVD,",
"address_2": "STE 105",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "980121797",
"telephone_number": "425-385-2009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15906 MILL CREEK BLVD",
"address_2": "STE 105",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "980121797",
"telephone_number": "425-385-2009",
"fax_number": "425-939-0807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROWLAND",
"first_name": "KATELYN",
"middle_name": "ANN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-12",
"last_updated": "2017-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP60244937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mill Creek, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.