Organization Active NPI

Inland Community Housecalls, Corp.

  • Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1306311824
Registry record updated Nov 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
INLAND COMMUNITY HOUSECALLS, CORP.
Practice address
2910 E 57TH Ave # 5-329
Spokane, WA 99223-7028
Phone
(509) 535-1143
Fax
(866) 488-6520
NPI assigned
Oct 11, 2018
Last updated
Nov 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2020

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

Authorized official

Name
Katrina Keller, ARNPNPI 1972860815
Title
Co-Owner
Phone
(509) 535-1143

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X Primary

Addresses

Primary practice location

2910 E 57TH Ave # 5-329
Spokane, WA 99223-7028

Mailing address

2910 E 57TH Ave # 5-329
Spokane, WA 99223-7028
Phone (509) 535-1143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190226003462 WA Part B Supplier - Clinic/Group Practice 5294070686 Receives reassigned benefits from 2 practitioners
Practice locations: Spokane Valley, WA; Spokane, WA; Liberty Lake, WA

National Provider Directory

National Provider Directory

Locations

1718 W 9th Ave
Spokane, WA 99204
Phone (509) 747-7233

1724 W Mallon Ave
Spokane, WA 99201
Phone (509) 327-5945

2910 E 57th Ave
#5329
Spokane, WA 99223
Phone (509) 535-1143

9 E 9th Ave
Spokane, WA 99202
Phone (509) 816-1921

9111 E Upriver Dr
Spokane, WA 99206
Phone (509) 290-6506

9122 E Heroy Ave
Spokane, WA 99206
Phone (509) 535-1143

12016 E Cataldo Ave
Spokane Valley, WA 99206
Phone (509) 921-5473

122 N University Rd
Spokane Valley, WA 99206
Phone (509) 413-2198

14106 E 3rd Ave
Spokane Valley, WA 99216
Phone (509) 474-9049

22 N Adams Rd
Spokane Valley, WA 99216
Phone (509) 922-9954

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605312000000",
    "number": "1306311824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 E 57TH AVE # 5-329",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992237028",
            "telephone_number": "509-535-1143",
            "fax_number": "866-488-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 E 57TH AVE # 5-329",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992237028",
            "telephone_number": "509-535-1143",
            "fax_number": "866-488-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND COMMUNITY HOUSECALLS, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-11",
        "last_updated": "2020-11-14",
        "certification_date": "2020-11-14",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "509-535-1143",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.