Susan Keilman, A.R.N.P., C.N.M.
Individual provider Active NPI Family Nurse Practitioner · Forks, WA
NPI 1649353178 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1649353178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP30000345 (WA)
- Practice address
- 590 Bogachiel Way
Forks, WA 98331 - Phone
- (360) 374-6271
- Fax
- (360) 374-9781
- NPI assigned
- Oct 20, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Midwife, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30000345 | WA | MD | Midwife |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | AP30000345 | WA | |
| Family Nurse Practitioner | 363LF0000X | AP30000345 | WA | Yes |
Addresses
Primary practice location
590 Bogachiel Way
Forks, WA 98331
Mailing address
590 Bogachiel Way
Forks, WA 98331
Phone (360) 374-6271
Other providers in Forks, WA
- Wilbert Daniel James
- Jeffrey C. Hsu PLLC
- John M Shima MD PS
- John M Shima MD PS
- Beatrice Katharine Kaufman
- Jennifer Klahn
- Stephen H Kriebel
- Laura Ann Kripinski
- Kyle Fukano DDS PLLC
- Leta Maile Lawhead
All providers in Forks, WA · Family Nurse Practitioner in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.