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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SAMANTHA KEELY
NPI 1114848017
Nurse Practitioner in Bonney Lake, WA

Active since July 24, 2026
18209 WA-410, SUITE 303, BONNEY LAKE, WA 98391(253) 431-2249 Get Directions Write a Review

NPPES record added: September 1, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 1, 2026, Jul 24, 2026 (2 updates tracked since 2026).

About Samantha Keely NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA KEELY (NPI 1114848017) is an individual nurse practitioner in Bonney Lake, Washington, licensed in Washington (AP70169901) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1114848017
Entity TypeIndividual
Primary Taxonomy363L00000X
Provider Legal NameSAMANTHA KEELY
Location Address18209 WA-410, SUITE 303Bonney Lake, WA 98391
Mailing Address18209 Wa-410 Suite 303Bonney Lake, WA 98391
Phone(253) 431-2249
Sole ProprietorNo
Enumeration DateJuly 24, 2026
Last NPPES UpdateSeptember 1, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2026
✔ NPI 1114848017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WA · AP70169901
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
18209 WA-410, Bonney Lake, WA 98391
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SU-YOUNG CHOI DDS, PLLC.
Dentist (General Practice)
18209 WA-410, SUITE 300
BONNEY LAKE, WA 98391
Pierce County (253) 299-2492

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Keely's NPI number?

The NPI number for Samantha Keely is 1114848017. It was assigned to this individual provider in the NPPES registry on July 24, 2026.

Where is Samantha Keely located?

Samantha Keely practices at 18209 Wa-410 Suite 303, Bonney Lake, WA 98391. The listed phone number is (253) 431-2249.

What is Samantha Keely's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Samantha Keely was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.