Individual provider Active NPI

Veronica Klicker, NP

  • Family Nurse Practitioner
  • Kennewick, WA
National Provider Identifier
1588898696
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61664008 Issued in WA
Practice address
500 W 1St Ave Ste a
Kennewick, WA 99336-3923
Phone
(509) 396-7984
Fax
(509) 396-7985
NPI assigned
May 5, 2009
Reactivated
Mar 5, 2025
Last updated
Jul 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP61664008 WA Primary
Massage Therapist 225700000X MA60012264 WA

Addresses

Primary practice location

500 W 1St Ave Ste a
Kennewick, WA 99336-3923

Mailing address

6734 W 31St Ave
Kennewick, WA 99338-2544
Phone (509) 301-8432

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
I20250716003984 WA Practitioner - Nurse Practitioner 2365957453 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RCCH Trios Health LLCGroup PAC ID 5799035416, 65 clinicians
Washington Pac Services PCGroup PAC ID 4082986070, 43 clinicians
CS Pacs 3 Northwest LLCGroup PAC ID 8729526496, 26 clinicians

Practice addresses (Care Compare)

7201 W Grandridge Blvd
Suite 100
Kennewick, WA 99336-6709
Phone (509) 221-6900

92 Wainwright Dr
Walla Walla, WA 99362-3975
Phone (509) 394-6800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA60012264WAMDMassage Therapist
AP61664008WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wa Pacs 2 PC CurrentSince Aug 18, 2025 Accepting new patients
Washington Pac Services PC CurrentSince Aug 18, 2025 Accepting new patients
CS Pacs 3 Northwest, LLC CurrentSince Aug 18, 2025 Accepting new patients
RCCH Trios Health LLC CurrentSince Jul 1, 2025 Accepting new patients
Public Hospital District #4 of Grant County Past Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

414 17th St SE
Auburn, WA 98002
Phone (253) 320-0748

21008 76th Ave W
Edmonds, WA 98026
Phone (425) 778-0107

135 S 336th St
Federal Way, WA 98003
Phone (253) 835-7433

216 W 10th Ave
Ste 204
Kennewick, WA 99336
Phone (509) 221-5520

7201 W Grandridge Blvd
Ste 100
Kennewick, WA 99336
Phone (509) 221-6900

920 12th Ave SE
Puyallup, WA 98372
Phone (253) 841-3422

3600 E Hartson Ave
Spokane, WA 99202
Phone (509) 468-7000

14820 E 4th Ave
Spokane Valley, WA 99216
Phone (509) 922-1644

414 S University Rd
Spokane Valley, WA 99206
Phone (509) 924-4650

4755 S 48th St
Tacoma, WA 98409
Phone (203) 608-6108

92 Wainwright Dr
Walla Walla, WA 99362
Phone (509) 394-6800

Interoperability endpoints

  • Direct secure messaging: veronica.klicker.1@18485.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1588898696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6734 W 31ST AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993382544",
            "telephone_number": "509-301-8432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W 1ST AVE STE A",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993363923",
            "telephone_number": "509-396-7984",
            "fax_number": "509-396-7985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLICKER",
        "first_name": "VERONICA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-05",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "deactivation_date": "2025-02-26",
        "reactivation_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61664008",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60012264",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

Verify at the official NPI Registry.