Individual provider Active NPI

Katherine Anne Cristiano, ARNP

  • Rheumatology Physician
  • Bellevue, WA
National Provider Identifier
1497472500
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
AP61351352 Issued in WA
Practice address
2100 116TH Ave NE
Bellevue, WA 98004-3016
Phone
(425) 453-0766
Fax
(425) 451-3560
NPI assigned
Oct 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP61351352 WA
Gerontology Nurse Practitioner 363LG0600X AP61351352 WA
Rheumatology Physician 207RR0500X AP61351352 WA Primary

Addresses

Primary practice location

2100 116TH Ave NE
Bellevue, WA 98004-3016

Mailing address

2100 116TH Ave NE
Bellevue, WA 98004-3016
Phone (425) 453-0766

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address officemanager@overlakearthritis.com Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230222003000 WA Practitioner - Nurse Practitioner 2062885031 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP61351352WAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Overlake Arthritis and Osteoporosis Center, PLLC CurrentSince Nov 7, 2022 Accepting new patients

Locations

2100 116th Ave NE
Bellevue, WA 98004
Phone (425) 453-0766

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIEHCD
  • Direct secure messaging: katherine.cristiano.p166@direct.healthcarepartners.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1497472500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 116TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043016",
            "telephone_number": "425-453-0766",
            "fax_number": "425-451-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 116TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043016",
            "telephone_number": "425-453-0766",
            "fax_number": "425-451-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISTIANO",
        "first_name": "KATHERINE",
        "middle_name": "ANNE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP61351352",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WA",
            "license": "AP61351352",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "WA",
            "license": "AP61351352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "officemanager@overlakearthritis.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct email",
            "address_1": "2100 116th Ave NE",
            "city": "Bellevue",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980043016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.