Individual provider Active NPI

Kristie Nolta, ARNP

  • Family Nurse Practitioner
  • Tacoma, WA
National Provider Identifier
1558818997
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60686060 Issued in WA
Practice address
1708 Yakima Ave Ste 300
Tacoma, WA 98405-5309
Phone
(253) 363-8700
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60686060 WA Primary

Addresses

Primary practice location

1708 Yakima Ave Ste 300
Tacoma, WA 98405-5309

Mailing address

1708 Yakima Ave Ste 300
Tacoma, WA 98405-5309
Phone (253) 363-8700

Other identifiers 1

IdentifierTypeStateIssuer
2069497MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address knolta214107@fhsce.catholichealth.net 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
I20161213001198 WA Practitioner - Nurse Practitioner 3870873615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

500 Lilly Rd NE
Suite 204
Olympia, WA 98506-5197
Phone (360) 413-8272

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Washington CurrentSince Sep 23, 2024 Accepting new patients

Locations

500 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8250

500 Lilly Rd NE
Ste 204
Olympia, WA 98506
Phone (360) 413-8191

525 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8550

1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

Interoperability endpoints

  • Direct secure messaging: knolta214107@fhsce.catholichealth.net

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1558818997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 YAKIMA AVE STE 300",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984055309",
            "telephone_number": "253-363-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 YAKIMA AVE STE 300",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984055309",
            "telephone_number": "253-363-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLTA",
        "first_name": "KRISTIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60686060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2069497",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "knolta214107@fhsce.catholichealth.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1708 Yakima Ave Ste 300",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984055309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.