Active NPI
Kerbie Salvador A Barrantes, ARNP
- Family Nurse Practitioner
- Lakewood, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP61026274
- Practice address
- 11318 Bridgeport Way SW
Ste a
Lakewood, WA 98499-3054 - Phone
- (253) 533-3838
- NPI assigned
- Jan 22, 2020
- Last updated
- Aug 13, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP61026274 | WA | Primary |
Addresses
Primary practice location
11318 Bridgeport Way SW
Ste a
Lakewood, WA 98499-3054
Mailing address
3615 Walthew Dr SE
Lacey, WA 98503-4156
Phone (646) 671-9790
Other practice location 1
1006 N H St
Aberdeen, WA 98520-2521
Phone (360) 537-6332
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
Enrollment records 1
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
Practice addresses (Care Compare)
11318 Bridgeport Way SW
Suite a
Lakewood, WA 98499-3054
Phone (253) 533-3838
319 E Pioneer Ave
Montesano, WA 98563-4601
Phone (360) 249-3300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP61026274 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keybridge Health Supplies LLC | Current | Accepting new patients | |
| Grays Harbor Community Hospital | Current | Accepting new patients | |
| Grays Harbor Community Hospital | Current | Accepting new patients | |
| Grays Harbor Community Hospital | Current | Accepting new patients | |
| Key Bridge Medical Clinic LLC | Current | Accepting new patients |
Locations
1006 N H St
Aberdeen, WA 98520
Phone (360) 537-6032
915 Anderson Dr
Aberdeen, WA 98520
Phone (360) 532-8330
11318 Bridgeport Way SW
Ste A
Lakewood, WA 98499
Phone (253) 380-8905
319 E Pioneer Ave
Montesano, WA 98563
Phone (360) 249-1980
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.
-
- General Acute Care Hospital
- Aberdeen, WA
- NPI 1154378859
-
- Primary Care Clinic/Center
- Lakewood, WA
- NPI 1679178099
-
- Durable Medical Equipment & Medical Supplies
- Olympia, WA
- NPI 1023893658
-
dba Grays Harbor Radiology
- General Acute Care Hospital
- Aberdeen, WA
- NPI 1144676487
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Aberdeen, WA
- NPI 1154378859
-
dba Summit Pacific Medical Center
- Critical Access Hospital
- Elma, WA
- NPI 1740211028
-
dba Assured Home Health & Hospice
- Home Health Agency
- Centralia, WA
- NPI 1154397305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628812800000",
"number": "1649800426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3615 WALTHEW DR SE",
"city": "LACEY",
"state": "WA",
"postal_code": "985034156",
"telephone_number": "646-671-9790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11318 BRIDGEPORT WAY SW",
"address_2": "STE A",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984993054",
"telephone_number": "253-533-3838"
}
],
"practiceLocations": [
{
"address_1": "1006 N H St",
"address_purpose": "LOCATION",
"city": "Aberdeen",
"state": "WA",
"postal_code": "985202521",
"country_code": "US",
"telephone_number": "360-537-6332",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARRANTES",
"first_name": "KERBIE SALVADOR",
"middle_name": "A",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-01-22",
"last_updated": "2021-08-13",
"certification_date": "2021-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP61026274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.