Individual provider Active NPI

Eileen Patricia Okeeffe, ARNP

  • Family Nurse Practitioner
  • Kirkland, WA
National Provider Identifier
1881677060
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP30001774 Issued in WA
Practice address
12910 Totem Lake Blvd NE Ste 102
Kirkland, WA 98034-2901
Phone
(425) 899-4455
Fax
(425) 899-4434
NPI assigned
Nov 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP30001774 WA Primary
Nurse Practitioner 363L00000X AP30001774 WA
Obstetrics & Gynecology Nurse Practitioner 363LX0001X AP30001774 WA

Addresses

Primary practice location

12910 Totem Lake Blvd NE Ste 102
Kirkland, WA 98034-2901

Mailing address

12910 Totem Lake Blvd NE Ste 102
Kirkland, WA 98034-2901
Phone (425) 899-4455

Other identifiers 2

IdentifierTypeStateIssuer
080124875OtherMEDICARE RAILROAD
114285OtherWALABOR & INDUSTRIES

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP30001774WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Womens Health at Evergreen Past 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": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380758400000",
    "number": "1881677060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12910 TOTEM LAKE BLVD NE STE 102",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980342901",
            "telephone_number": "425-899-4455",
            "fax_number": "425-899-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12910 TOTEM LAKE BLVD NE STE 102",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980342901",
            "telephone_number": "425-899-4455",
            "fax_number": "425-899-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKEEFFE",
        "first_name": "EILEEN",
        "middle_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2013-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30001774",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP30001774",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "WA",
            "license": "AP30001774",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "080124875",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "114285",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.