Island Facial Aesthetics P.S.
NPI 1164054961ActiveOrganization· Nurse Practitioner· Coupeville, WA
Nurse Practitioner in Coupeville, Washington, registered in NPPES in February 2020. The authorized official on file is Kristy Anderson, ARNP, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1164054961 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 10, 2020 |
| Last updated in NPPES | Dec 18, 2020 |
| Certified by provider | Dec 18, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WA) |
|---|
Other Nurse Practitioner providers in Coupeville
- 1619597036
- 1821920059
- 1730579343
- 1013495845
- 1033282298
- 1134320401