Individual provider Active NPI

Angela Ariela Kisel, NP

  • Family Medicine Physician
  • Spokane Valley, WA
National Provider Identifier
1851059513
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
AP61451258 Issued in WA
Practice address
3901 S Sunderland Dr
Spokane Valley, WA 99206-8629
Phone
(818) 350-9995
Fax
(866) 814-1209
NPI assigned
Nov 30, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X AP61451258 WA Primary

Addresses

Primary practice location

3901 S Sunderland Dr
Spokane Valley, WA 99206-8629

Mailing address

3901 S Sunderland Dr
Spokane Valley, WA 99206-8629
Phone (818) 350-9555

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)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP61451258WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Asah Clinic CurrentSince Oct 8, 2023 Accepting new patients

Organizations & group practices 1

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": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1851059513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 S SUNDERLAND DR",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992068629",
            "telephone_number": "818-350-9555",
            "fax_number": "866-814-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 S SUNDERLAND DR",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992068629",
            "telephone_number": "818-350-9995",
            "fax_number": "866-814-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISEL",
        "first_name": "ANGELA",
        "middle_name": "ARIELA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "AP61451258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.