Individual provider Active NPI

Clara Stephanie Eickhoff, DNP, ARNP

  • Family Nurse Practitioner
  • Spanaway, WA
National Provider Identifier
1386289239
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61082542 Issued in WA
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

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2206610MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 1,400 clinicians

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 Hospital, Tacoma, WA, CCN 500108
  • St Clare Hospital Hospital, Lakewood, WA, CCN 500021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP61082542WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group CurrentSince May 9, 2022 Accepting new patients
Franciscan Medical Group CurrentSince May 9, 2022 Accepting new patients
Franciscan Medical Group Current Accepting new patients
Franciscan Medical Group PastSince Jun 1, 2022 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.