Individual provider Active NPI

Kaylee L Vantrease

  • Family Nurse Practitioner
  • Yakima, WA
National Provider Identifier
1558635508
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60971567 Issued in WA
Practice address
3810 Kern Way Ste B
Yakima, WA 98902
Phone
(509) 228-7237
Fax
(844) 315-7388
NPI assigned
Mar 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP60971567 WA
Family Nurse Practitioner 363LF0000X AP60971567 WA Primary

Addresses

Primary practice location

3810 Kern Way Ste B
Yakima, WA 98902

Mailing address

3810 Kern Way Ste B
Yakima, WA 98902-7805
Phone (509) 228-7237

Other practice location 1

3810 Kern Way Ste B
Yakima, WA 98902
Phone (509) 228-7237

Other practice location 2

550 Gage Blvd
Richland, WA 99352-9532
Phone (509) 628-1362

Other practice location 3

4001 Tieton Dr
Yakima, WA 98908-3345
Phone (509) 410-0746

Other practice location 4

1215 George Washington Way
Richland, WA 99352-3411
Phone (509) 946-7646

Other identifiers 1

IdentifierTypeStateIssuer
2134845MedicaidWA

Other names 1

  • Miss Kaylee L Ehlert Former name

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
I20190625002927 WA Practitioner - Nurse Practitioner 2264766260 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kittitas Valley Urgent Care PLLCGroup PAC ID 5092093542, 24 clinicians

Practice addresses (Care Compare)

702 E Mountain View Ave
Suite 1
Ellensburg, WA 98926-3862
Phone (509) 968-5273

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Thuthi Enterprises, LLC CurrentSince Oct 1, 2020 Accepting new patients
Kittitas Valley Urgent Care PLLC CurrentSince May 14, 2024 Accepting new patients
Physicians Immediate Care & Medical Centers, P.S. CurrentSince Jun 26, 2023 Accepting new patients
Thuthi Enterprises, LLC CurrentSince Oct 1, 2020 Accepting new patients
Compassion Family Medicine, PLLC CurrentSince Jun 4, 2019 Accepting new patients
Icco, LLC Past Accepting new patients
Northwest Healthcare and Wellness Center, PLLC Past Accepting new patients

Locations

1225 SE Commercial Dr
College Place, WA 99324
Phone (509) 516-1101

702 E Mountain View Ave
#1
Ellensburg, WA 98926
Phone (509) 968-5273

550 Gage Blvd
Richland, WA 99352
Phone (509) 628-1362

1516 Jadwin Ave
Richland, WA 99354
Phone (509) 946-1695

1215 George Washington Way
Richland, WA 99352
Phone (509) 946-1004

715 North Park Ctr
Ste B
Selah, WA 98942
Phone (509) 426-2378

17 E Valley Mall Blvd
Union Gap, WA 98903
Phone (509) 367-8733

17 E Valley Mall Blvd
Ste 2B
Union Gap, WA 98903
Phone (509) 367-8733

3810 Kern Rd
Ste B
Yakima, WA 98902
Phone (509) 228-7237

1006 S 64th Ave
Ste 100
Yakima, WA 98908
Phone (509) 955-9248

4001 Tieton Dr
Yakima, WA 98908
Phone (509) 410-0746

Organizations & group practices 7

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": "1331078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1558635508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 KERN WAY STE B",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989027805",
            "telephone_number": "509-228-7237",
            "fax_number": "844-315-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 KERN WAY STE B",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "98902",
            "telephone_number": "509-228-7237",
            "fax_number": "844-315-7388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3810 Kern Way Ste B",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "98902",
            "country_code": "US",
            "telephone_number": "509-228-7237",
            "fax_number": "844-315-7388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 Gage Blvd",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "993529532",
            "country_code": "US",
            "telephone_number": "509-628-1362",
            "fax_number": "509-946-7666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4001 Tieton Dr",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989083345",
            "country_code": "US",
            "telephone_number": "509-410-0746",
            "fax_number": "509-410-0749",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1215 George Washington Way",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "993523411",
            "country_code": "US",
            "telephone_number": "509-946-7646",
            "fax_number": "509-946-7666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANTREASE",
        "first_name": "KAYLEE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-07",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60971567",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60971567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2134845",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLEE",
            "last_name": "EHLERT",
            "middle_name": "L",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.