Individual provider Active NPI

Katherine Ceronsky, ARNP

  • Family Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1720501596
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60781194 Issued in WA
Practice address
720 8TH Ave S
Seattle, WA 98104-3032
Phone
(206) 788-3700
NPI assigned
Jul 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60781194 WA Primary

Addresses

Primary practice location

720 8TH Ave S
Seattle, WA 98104-3032

Mailing address

6127 35TH Ave S
Seattle, WA 98118-3177
Phone (651) 707-4993

Other identifiers 1

IdentifierTypeStateIssuer
1720501596OtherWANPI

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
I20171009001420 WA Practitioner - Nurse Practitioner 4385919919 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peacehealth Networks on Demand LLCGroup PAC ID 1759731383, 197 clinicians

Practice addresses (Care Compare)

116 Westlake Ave N
Seattle, WA 98109-5214
Phone (864) 664-3984

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth Networks on Demand, LLC CurrentSince May 1, 2024 Accepting new patients
Zoomcare Urgent Care LLC CurrentSince Dec 14, 2023 Accepting new patients
Zoomcare PC Past Accepting new patients
International Community Health Services Past Accepting new patients

Locations (25 of 26)

1455 NW Irving St
Ste 600
Portland, OR 97209
Phone (702) 388-4512

10425 NE 8th St
Bellevue, WA 98004

10541 NE 4th St
Bellevue, WA 98004
Phone (954) 881-4151

17017 SE 270th Pl
Ste C113
Covington, WA 98042

22019 Highway 99
Ste 120
Edmonds, WA 98026

221 SE Everett Mall Way
Ste M3
Everett, WA 98208

19220 Alderwood Mall Pkwy
Ste 145
Lynnwood, WA 98036

2010 148th Ave NE
Ste 150
Redmond, WA 98052

2010 148th Ave NE
Redmond, WA 98052

1909 Queen Anne Ave N
Seattle, WA 98109

2301 2nd Ave
Seattle, WA 98121
Phone (398) 486-4664

517 Union St
Seattle, WA 98101

4012 SW Alaska St
Seattle, WA 98116

2038 NW Market St
Seattle, WA 98107

1570 W Armory Way
Ste 102
Seattle, WA 98119

4540 University Way NE
Seattle, WA 98105

624 N 34th St
Unit 104
Seattle, WA 98103

4555 Stone Way N
Seattle, WA 98103
Phone (206) 973-4264

116 Westlake Ave N
Seattle, WA 98109

531 Broadway E
Ste 10
Seattle, WA 98102

15911 Westminster Way N
Shoreline, WA 98133

17250 Southcenter Pkwy
Ste 136
Tukwila, WA 98188

902 SE 164th Ave
Ste 400
Vancouver, WA 98683

910 NE Tenney Rd
Ste 101
Vancouver, WA 98685

2510 Columbia House Blvd
Ste 107
Vancouver, WA 98661

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/30646/brand/1/csg/1/fhir/r4
  • Direct secure messaging: katherine.ceronsky.1@30646.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1720501596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6127 35TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981183177",
            "telephone_number": "651-707-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 8TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043032",
            "telephone_number": "206-788-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERONSKY",
        "first_name": "KATHERINE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-24",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60781194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1720501596",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.