Active NPI
Katrina N Keller, ARNP
- Primary Care Nurse Practitioner
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- AP60284256
- 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, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
- Select Outpatient Services Inc
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
| License | State | Type | Specialty |
|---|---|---|---|
| AP60284256 | VA | MD | Nurse Practitioner |
| AP60284256 | WA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Home Care Corporation | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Nurse Practitioner
- Spokane, WA
- NPI 1306311824
-
- Rehabilitation Clinic/Center
- Glenview, IL
- NPI 1346368248
-
- Home Health Agency
- Liberty Lake, WA
- NPI 1497951651
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CenterWell Home Health
- Home Health Agency
- Spokane Valley, WA
- NPI 1265789820
-
dba Eden Home Health
- Home Health Agency
- Spokane Valley, WA
- NPI 1588212641
-
dba Assured Home Health
- Home Health Agency
- Spokane, WA
- NPI 1821396284
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.