Individual provider Active NPI

Kelly Brenna Plyler, ARNP, AGACNP

  • Acute Care Nurse Practitioner
  • Bellingham, WA
National Provider Identifier
1750825022
Registry record updated Jul 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP61103096 Issued in WA
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

Updated by the provider on Jul 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
RN.433856OHMDRegistered Nurse
AP61103096WAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bellingham Foot Care Center, Inc Current Accepting new patients
Bellingham Bay Foot and Ankle Specialists Acute Care CurrentSince Jul 19, 2022 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.

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.

Verify at the official NPI Registry.