David John Kanters, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP30000344 Issued in WA

Practice address

621 E Front St
Port Angeles, WA 98362-3319

Phone

(360) 452-5000

Fax

(360) 452-0228

NPI assigned

Oct 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629153606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 E FRONT ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983623319",
            "telephone_number": "360-452-5000",
            "fax_number": "360-452-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 E FRONT ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983623319",
            "telephone_number": "360-452-5000",
            "fax_number": "360-452-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTERS",
        "first_name": "DAVID",
        "middle_name": "JOHN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30000344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9603432",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BS",
            "identifier": "R31549",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE L&I",
            "identifier": "71514",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• K Ben Skerback
• Jory Kahn, LMHCA
• Justin Michele Kalakosky
• Kimberly Marie Kalfas, ND
• Sarah Marie Kalning, LMT
• Michelle Luana Kaser
• Michael Brian Kast, LD
• Wahji Kasten, N.D., LAC
• Edward Elias Katime, MD
• Hollie Rynerson Kaufman, ARNP

• Family Nurse Practitioner in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.