Active NPI
Kelly Brenna Plyler, ARNP, AGACNP
- Acute Care Nurse Practitioner
- Bellingham, WA
National Provider Identifier
1750825022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- AP61103096
- Practice address
- 1600 F St
Bellingham, WA 98225-3012 - Phone
- (360) 733-3710
- Fax
- (360) 733-7906
- NPI assigned
- Dec 6, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.433856 | OH | |
| Acute Care Nurse Practitioner | 363LA2100X | AP61103096 | WA | Primary |
Addresses
Primary practice location
1600 F St
Bellingham, WA 98225-3012
Mailing address
1600 F St
Bellingham, WA 98225-3012
Phone (360) 733-3710
Other practice location 1
7050 Air Depot Blvd Bldg 1094
Tinker AFB, OK 73145-8716
Phone (405) 582-6610
Other names 1
- Kelly Brenna Seitz
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.433856 | OH | MD | Registered Nurse |
| AP61103096 | WA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bellingham Foot Care Center, Inc | Current | Accepting new patients | |
| Bellingham Bay Foot and Ankle Specialists | Acute Care | Current | Accepting new patients |
Locations
1600 F St
Bellingham, WA 98225
Phone (360) 671-8086
Organizations & group practices 2
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.
-
- Podiatric Clinic/Center
- Bellingham, WA
- NPI 1972238863
Acute Care
-
- Podiatrist
- Bellingham, WA
- NPI 1306054291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658534400000",
"number": "1750825022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 F ST",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982253012",
"telephone_number": "360-733-3710",
"fax_number": "360-733-7906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 F ST",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982253012",
"telephone_number": "360-733-3710",
"fax_number": "360-733-7906"
}
],
"practiceLocations": [
{
"address_1": "7050 Air Depot Blvd Bldg 1094",
"address_purpose": "LOCATION",
"city": "Tinker AFB",
"state": "OK",
"postal_code": "731458716",
"country_code": "US",
"telephone_number": "405-582-6610",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PLYLER",
"first_name": "KELLY",
"middle_name": "BRENNA",
"credential": "ARNP, AGACNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-06",
"last_updated": "2022-07-23",
"certification_date": "2022-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.433856",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "WA",
"license": "AP61103096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLY",
"last_name": "SEITZ",
"middle_name": "BRENNA",
"credential": "AGACNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.