Karli Eastman, FNP-C
Individual provider Active NPI Nurse Practitioner · Renton, WA
NPI 1831761352 · NPPES record last updated Sep 23, 2021
Key facts
- NPI
- 1831761352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- AP61198841 (WA)
- Practice address
- 4033 Talbot Rd S
Renton, WA 98055-5772 - Phone
- (425) 656-5400
- NPI assigned
- Jul 14, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Valley Medical Group-Renton
Practice addresses (Care Compare)
400 S 43Rd St
Renton, WA 98055-5714
Phone (425) 228-3450
Hospital & facility affiliations
- Amedisys Home Health
- Valley Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210929000812 | WA | Practitioner - Nurse Practitioner | 9032516372 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61198841 | WA | MD | Nurse Practitioner |
| AP61198841 | WA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Medical Group-Renton | Nurse Practitioner | Current |
Accepting new patients |
| Public Hospital District #1 of King County | Past | Accepting new patients |
Locations
16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971
4033 Talbot Rd S
Renton, WA 98055
Phone (425) 690-3489
3600 Lind Ave SW
Ste 100
Renton, WA 98057
400 S 43rd St
Renton, WA 98055
Phone (425) 228-3450
Interoperability endpoints
- keastman93665@direct.valleymed.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 61198841 | WA | |
| Nurse Practitioner | 363L00000X | AP61198841 | WA | Yes |
Addresses
Primary practice location
4033 Talbot Rd S
Renton, WA 98055-5772
Mailing address
3600 Lind Ave SW
Suite 100 Attn Credentialing
Renton, WA 98057-4970
Phone (425) 690-2715
Other practice location 1
400 S 43rd St
Renton, WA 98055-5714
Phone (425) 690-3950
Other names
- Karla Friedrich
Other providers in Renton, WA
- Dynacare Northwest
- Dynamic RX Labs LLC
- Dayla Marie Dzingle
- Jean W Eakins
- Sabrena Eason
- Megan E Eastman
- Eastside Clinical Consulting
- Eastside Oral Surgery Associates
- Eastside TMS X Wellness Center
- Christian Treadwell Eaton
All providers in Renton, WA · Nurse Practitioner in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.