Active NPI
Caitlin Maureen Jarvis, FNP-BC, ARNP
- Family Nurse Practitioner
- Kirkland, WA
National Provider Identifier
1477956951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP60471971
- Practice address
- 11417 124TH Ave NE Ste 100
Kirkland, WA 98033-4677 - Phone
- (800) 640-3451
- Fax
- (385) 287-1900
- NPI assigned
- Sep 29, 2014
- Last updated
- Mar 11, 2025
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP60471971 | WA | Primary |
Addresses
Primary practice location
11417 124TH Ave NE Ste 100
Kirkland, WA 98033-4677
Mailing address
PO Box 1200
Pleasant Grove, UT 84062-1200
Phone (800) 640-3451
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11417 124TH Ave NE
Suite 100
Kirkland, WA 98033-4677
Phone (800) 640-3451
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP60471971 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Plaid Eagle Medical PLLC | Current | Accepting new patients |
Locations
11417 124th Ave NE
Ste 100
Kirkland, WA 98033
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, 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": "1411948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741651200000",
"number": "1477956951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1200",
"city": "PLEASANT GROVE",
"state": "UT",
"postal_code": "840621200",
"telephone_number": "800-640-3451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11417 124TH AVE NE STE 100",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980334677",
"telephone_number": "800-640-3451",
"fax_number": "385-287-1900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARVIS",
"first_name": "CAITLIN",
"middle_name": "MAUREEN",
"name_prefix": "Dr.",
"credential": "FNP-BC, ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-29",
"last_updated": "2025-03-11",
"certification_date": "2025-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP60471971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.