Individual provider Active NPI

Katrina N Keller, ARNP

  • Primary Care Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1972860815
Registry record updated Nov 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP60284256 Issued in WA
Practice address
2910 E 57TH Ave # 5-329
Spokane, WA 99223-7028
Phone
(509) 535-1143
Fax
(866) 488-6520
NPI assigned
Apr 17, 2012
Last updated
Nov 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP60284256 WA
Nurse Practitioner 363L00000X AP60284256 VA
Primary Care Nurse Practitioner 363LP2300X AP60284256 WA Primary

Addresses

Primary practice location

2910 E 57TH Ave # 5-329
Spokane, WA 99223-7028

Mailing address

2910 E 57TH Ave # 5-329
Spokane, WA 99223-7028
Phone (509) 535-1143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120531000079 WA Practitioner - Nurse Practitioner 5597928507 Reassigns benefits to 1 organization
I20190204003055 ID Practitioner - Nurse Practitioner 5597928507

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inland Community Housecalls CorpGroup PAC ID 5294070686, 2 clinicians
Select Outpatient Services IncGroup PAC ID 4082868815, 750 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

12016 E Cataldo Ave
Spokane Valley, WA 99206-4963
Phone (509) 921-5473

14106 E 3Rd Ave
Spokane Valley, WA 99216-2102
Phone (509) 474-9049

14120 E 3Rd Ave
Spokane Valley, WA 99216-2102
Phone (509) 435-2108

22 N Adams Rd
Spokane Valley, WA 99216-2073
Phone (509) 922-9954

2600 Compass Rd
Glenview, IL 60026-8001

4503 S Freya St
Spokane, WA 99223-7135
Phone (509) 472-8752

9111 E Upriver Dr
Spokane, WA 99206-4430
Phone (509) 290-6506

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP60284256VAMDNurse Practitioner
AP60284256WAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Home Care Corporation Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: inlandcommunityhousecalls.katrinakeller@140882.advancedmd-direct.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605312000000",
    "number": "1972860815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 E 57TH AVE # 5-329",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992237028",
            "telephone_number": "509-535-1143",
            "fax_number": "866-488-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 E 57TH AVE # 5-329",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992237028",
            "telephone_number": "509-535-1143",
            "fax_number": "866-488-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "KATRINA",
        "middle_name": "N",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-17",
        "last_updated": "2020-11-14",
        "certification_date": "2020-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60284256",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "AP60284256",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WA",
            "license": "AP60284256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.