Active NPI
Karis Niemi, RN, PNP
- Pediatric Nurse Practitioner
- Vancouver, WA
National Provider Identifier
1457747586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- AP60886618
- Practice address
- 700 NE 87TH Ave
Vancouver, WA 98664-4896 - Phone
- (360) 882-2778
- NPI assigned
- Apr 15, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | AP60886618 | WA | Primary |
Addresses
Primary practice location
700 NE 87TH Ave
Vancouver, WA 98664-4896
Mailing address
PO Box 4825
Portland, OR 97208-4825
Phone (360) 882-2778
Other practice location 1
2121 NE 139th St Ste 200
Vancouver, WA 98686-2316
Phone (360) 487-1777
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Vancouver Clinic Inc PS | Current | Accepting new patients | |
| The Vancouver Clinic Inc PS | Multi-Specialty | Current | Accepting new patients |
| The Vancouver Clinic Inc PS | Multi-Specialty | Current | Accepting new patients |
| Legacy Salmon Creek Hospital | Multi-Specialty | Past | Accepting new patients |
| Peacehealth | Multi-Specialty | Past | Accepting new patients |
Locations
700 NE 87th Ave
Vancouver, WA 98664
Phone (360) 397-1500
Interoperability endpoints
- kkerbs19739@tvc-direct.org
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Vancouver, WA
- NPI 1992759427
Multi-Specialty
-
- Ambulatory Surgical Clinic/Center
- Vancouver, WA
- NPI 1306556907
Multi-Specialty
-
- Eyewear Supplier
- Ridgefield, WA
- NPI 1760004477
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1700809829
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697414400000",
"number": "1457747586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4825",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972084825",
"telephone_number": "360-882-2778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 NE 87TH AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986644896",
"telephone_number": "360-882-2778"
}
],
"practiceLocations": [
{
"address_1": "2121 NE 139th St Ste 200",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986862316",
"country_code": "US",
"telephone_number": "360-487-1777",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIEMI",
"first_name": "KARIS",
"credential": "RN, PNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-15",
"last_updated": "2023-10-16",
"certification_date": "2023-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Pediatrics",
"state": "WA",
"license": "AP60886618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.