Organization Active NPI

Kathryn S. Deane Arnp, PLLC

  • Family Nurse Practitioner
  • Bellevue, WA
National Provider Identifier
1699008680
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP30006919 Issued in WA
Legal business name
KATHRYN S. DEANE ARNP, PLLC
Practice address
1715 114TH Ave SE
Suite 110
Bellevue, WA 98004-6945
Phone
(206) 550-1819
Fax
(206) 922-5526
NPI assigned
Sep 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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

Authorized official

Name
Kathryn Suzanne Deane, ARNPNPI 1023029394
Title
Agent
Phone
(206) 550-1819

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X AP30006919 WA Primary

Addresses

Primary practice location

1715 114TH Ave SE
Suite 110
Bellevue, WA 98004-6945

Mailing address

1715 114TH Ave SE
Suite 110
Bellevue, WA 98004-6945
Phone (206) 550-1819

National Provider Directory

National Provider Directory

Locations

1715 114th Ave SE
Ste 110
Bellevue, WA 98004
Phone (206) 550-1819

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1699008680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 114TH AVE SE",
            "address_2": "SUITE 110",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046945",
            "telephone_number": "206-550-1819",
            "fax_number": "206-922-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 114TH AVE SE",
            "address_2": "SUITE 110",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046945",
            "telephone_number": "206-550-1819",
            "fax_number": "206-922-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHRYN S. DEANE ARNP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-09",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "DEANE",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "206-550-1819",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30006919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; 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.