Individual provider Active NPI

Gwendolyn Keiser, ARNP

  • Pediatric Nurse Practitioner
  • Bellevue, WA
National Provider Identifier
1396819504
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP30003727 Issued in WA
Practice address
3633 136TH Place SE
Suite #110
Bellevue, WA 98006
Phone
(425) 747-7202
Fax
(425) 643-0635
NPI assigned
Nov 20, 2006
Last updated
Aug 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X AP30003727 WA Primary
Pediatrics Physician 208000000X RN00106801 WA

Addresses

Primary practice location

3633 136TH Place SE
Suite #110
Bellevue, WA 98006

Mailing address

3633 136TH Place SE
Suite #110
Bellevue, WA 98006

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)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN00106801WAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Associates, Inc. P.S. Dba Allegro Pediatrics Pediatrics CurrentSince Jan 1, 2023 Accepting new patients
Pediatric Associates, Inc., P.S. Dba Allegro Pediatrics Pediatrics Past Accepting new patients

Locations

14711 NE 29th Pl
Ste 255
Bellevue, WA 98007
Phone (425) 460-5634

3633 136th Pl SE
Ste 110
Bellevue, WA 98006
Phone (425) 747-7202

4122 Factoria Blvd SE
Ste 101
Bellevue, WA 98006
Phone (425) 643-0635

Interoperability endpoints

  • Direct secure messaging: gkeiser127479@direct.seattlechildrens.org
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73711

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1396819504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 136TH PLACE SE",
            "address_2": "SUITE #110",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 136TH PLACE SE",
            "address_2": "SUITE #110",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98006",
            "telephone_number": "425-747-7202",
            "fax_number": "425-643-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEISER",
        "first_name": "GWENDOLYN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WA",
            "license": "AP30003727",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "RN00106801",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.