NPIMap

Individual provider Active NPI

Karin P Heusted, ARNP

  • Nurse Practitioner
  • Bothell, WA
National Provider Identifier
1437213485
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP30005606 Issued in WA
Practice address
2609 183Rd St. SE
Bothell, WA 98012
Phone
(425) 761-3792
Fax
(855) 710-7965
NPI assigned
Dec 21, 2006
Last updated
Oct 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP30005606 WA Primary

Addresses

Primary practice location

2609 183Rd St. SE
Bothell, WA 98012

Mailing address

22722 29TH Dr. SE
Suite 100
Bothell, WA 98021
Phone (425) 780-9168

Other identifiers 2

IdentifierTypeStateIssuer
9643198MedicaidWA
0205101OtherWALABOR AND INDUSTRIES

Other names 1

  • Karin Warack Other name

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

State licenses

LicenseStateTypeSpecialty
AP30005606WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Health Services Past Accepting new patients
Mind Your Body Clinic PLLC Past Accepting new patients
Proliance Surgeons Inc PS Past Accepting new patients
Integrated Oriental Medicine, PS Past Accepting new patients
Bellevue Cardiology Clinic PLLC Past Accepting new patients

Organizations & group practices 5

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": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1437213485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22722 29TH DR. SE",
            "address_2": "SUITE 100",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "98021",
            "telephone_number": "425-780-9168",
            "fax_number": "855-710-7965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 183RD ST. SE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "98012",
            "telephone_number": "425-761-3792",
            "fax_number": "855-710-7965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEUSTED",
        "first_name": "KARIN",
        "middle_name": "P",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP30005606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9643198",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0205101",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARIN",
            "last_name": "WARACK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.