Active NPI
Clara Stephanie Eickhoff, DNP, ARNP
- Family Nurse Practitioner
- Spanaway, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP61082542
- Practice address
- 144 169TH St S
Spanaway, WA 98387-8201 - Phone
- (253) 538-4660
- Fax
- (253) 538-4675
- NPI assigned
- Nov 14, 2019
- 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 | AP61082542 | WA | Primary |
Addresses
Primary practice location
144 169TH St S
Spanaway, WA 98387-8201
Mailing address
144 169TH St S
Spanaway, WA 98387-8201
Phone (253) 538-4660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2206610 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ceickhoff78851@fhsce.catholichealth.net | Direct | Franciscan Medical Group |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220527000448 | WA | Practitioner - Nurse Practitioner | 2961880273 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Franciscan Medical Group
Practice addresses (Care Compare)
144 169TH St S
Suite a
Spanaway, WA 98387-8242
Phone (253) 536-2824
Hospital & facility affiliations
- St Joseph Medical Center
- St Clare Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP61082542 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Medical Group | Current | Accepting new patients | |
| Franciscan Medical Group | Current | Accepting new patients | |
| Franciscan Medical Group | Current | Accepting new patients | |
| Franciscan Medical Group | Past | Accepting new patients |
Locations
21 NE Romance Hill Rd
Ste 105
Belfair, WA 98528
Phone (360) 277-2950
9230 Sky Island Dr E
Stop 1201
Bonney Lake, WA 98391
9230 Sky Island Dr E
Bonney Lake, WA 98391
Phone (253) 750-6000
4700 Point Fosdick Dr
Ste 102
Gig Harbor, WA 98335
Phone (206) 858-3200
15214 Canyon Rd E
Ste 120
Puyallup, WA 98375
Phone (253) 539-4200
4550 Fauntleroy Way SW
Ste 200
Seattle, WA 98126
Phone (206) 933-1041
1344 Wintergreen Ln NE
Unit 100
Seattle, WA 98110
Phone (206) 201-0488
144 169th St S
Ste A
Spanaway, WA 98387
Phone (253) 536-2824
144 169th St S
Spanaway, WA 98387
Phone (253) 426-4325
1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200
Interoperability endpoints
- ceickhoff78851@fhsce.catholichealth.net
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Tacoma, WA
- NPI 1366539421
-
- Surgery Physician
- Federal Way, WA
- NPI 1356560056
-
- Nurse Practitioner
- Bonney Lake, WA
- NPI 1497194922
-
- Internal Medicine Physician
- Silverdale, WA
- NPI 1710432612
-
- Family Medicine Physician
- Enumclaw, WA
- NPI 1801825641
-
- Internal Medicine Physician
- Bremerton, WA
- NPI 1154564649
-
- Family Medicine Physician
- Gig Harbor, WA
- NPI 1386602555
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663718400000",
"number": "1386289239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 169TH ST S",
"city": "SPANAWAY",
"state": "WA",
"postal_code": "983878201",
"telephone_number": "253-538-4660",
"fax_number": "253-538-4675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 169TH ST S",
"city": "SPANAWAY",
"state": "WA",
"postal_code": "983878201",
"telephone_number": "253-538-4660",
"fax_number": "253-538-4675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EICKHOFF",
"first_name": "CLARA",
"middle_name": "STEPHANIE",
"credential": "DNP, ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-14",
"last_updated": "2022-09-21",
"certification_date": "2022-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP61082542",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2206610",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ceickhoff78851@fhsce.catholichealth.net",
"affiliation": "Y",
"affiliationName": "Franciscan Medical Group",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "144 169th St S",
"city": "Spanaway",
"state": "WA",
"country_code": "US",
"postal_code": "983878201",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Spanaway, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.