Active NPI
Theodore E Ritter, ARNP
- Family Nurse Practitioner
- Kirkland, WA
National Provider Identifier
1356430615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP30000303
- Practice address
- 11821 NE 128TH St
Suite H
Kirkland, WA 98034-7210 - Phone
- (425) 821-9730
- Fax
- (425) 821-9739
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP30000303 | WA | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP30000303 | WA |
Addresses
Primary practice location
11821 NE 128TH St
Suite H
Kirkland, WA 98034-7210
Mailing address
11821 NE 128TH St
Suite H
Kirkland, WA 98034-7210
Phone (425) 821-9730
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304985600000",
"number": "1356430615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11821 NE 128TH ST",
"address_2": "SUITE H",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980347210",
"telephone_number": "425-821-9730",
"fax_number": "425-821-9739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11821 NE 128TH ST",
"address_2": "SUITE H",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980347210",
"telephone_number": "425-821-9730",
"fax_number": "425-821-9739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RITTER",
"first_name": "THEODORE",
"middle_name": "E",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2011-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP30000303",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP30000303",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.