Carol R. Keenholts, A.R.N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP30001206 Issued in WA

Practice address

200 W Mercer St
#104
Seattle, WA 98119-3995

Phone

(206) 281-7163

Fax

(206) 281-5088

NPI assigned

Jul 26, 2006

Sex

Female

Sole proprietor

No

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

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Queen Anne Medical Associates PLLCGroup PAC ID 3072404383, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Interoperability endpoints

• Direct secure messaging: carol.keenholts.1@5263.direct.athenahealth.com

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.

• Queen Anne Medical Associates, PLLC

  • Family Medicine Physician
  • Seattle, WA
  • NPI 1952574642
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346263472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W MERCER ST",
            "address_2": "#104",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981193995",
            "telephone_number": "206-281-7163",
            "fax_number": "206-281-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W MERCER ST",
            "address_2": "#104",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981193995",
            "telephone_number": "206-281-7163",
            "fax_number": "206-281-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENHOLTS",
        "first_name": "CAROL",
        "middle_name": "R.",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30001206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9606864",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Michael Keenan, DDS
• Sean O Keenan, M.D.
• Justin Marcus Keene
• Steath Keener
• Casey Keeney, PHARMD
• Denice Colleen Keepin, MA, LMHC
• Regina S Keeton, LMP
• Robert Albert Keever, DDS
• Ashley Keezer, CCC-SLP
• Chase Keffeler

• Family Nurse Practitioner in Seattle, WA
• Providers in Seattle, 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 Jul 8, 2007; 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.

Verify at the official NPI Registry.