Active NPI
Karen Ann Peachey, NP
- Adult Health Nurse Practitioner
- Spokane, WA
National Provider Identifier
1396829412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- AP60070810
- Practice address
- 6025 N Assembly St
Spokane, WA 99205-7674 - Phone
- (509) 464-1600
- Fax
- (509) 343-9391
- NPI assigned
- Oct 25, 2006
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AP60070810 | WA | Primary |
Addresses
Primary practice location
6025 N Assembly St
Spokane, WA 99205-7674
Mailing address
7115 N Division St
Ste B349
Spokane, WA 99208-6507
Phone (509) 464-1600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1016357 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | indiantrailfm@hotmail.com | Direct |
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
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prevention NW | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinic/Center
- Spokane Valley, WA
- NPI 1629666029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611532800000",
"number": "1396829412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7115 N DIVISION ST",
"address_2": "STE B349",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992086507",
"telephone_number": "509-464-1600",
"fax_number": "509-343-9391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6025 N ASSEMBLY ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992057674",
"telephone_number": "509-464-1600",
"fax_number": "509-343-9391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEACHEY",
"first_name": "KAREN",
"middle_name": "ANN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2021-01-25",
"certification_date": "2021-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "WA",
"license": "AP60070810",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1016357",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "indiantrailfm@hotmail.com",
"affiliation": "N",
"endpointDescription": "business address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6025 N Assembly St",
"city": "Spokane",
"state": "WA",
"country_code": "US",
"postal_code": "992057674",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.