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ISLAND FACIAL AESTHETICS P.S.
NPI 1164054961
Nurse Practitioner in Coupeville, WA

Active since February 10, 2020CLIA 50D2189867 · Microscopy
30 NW BIRCH ST, COUPEVILLE, WA 98239(360) 678-1515(360) 678-5037 Get Directions Write a Review

NPPES record last updated: December 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 18, 2020, Jul 24, 2020, Feb 13, 2020 (3 updates tracked since 2020).

About Island Facial Aesthetics P.s. NPPES

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

ISLAND FACIAL AESTHETICS P.S. (NPI 1164054961) is a healthcare organization registered as a nurse practitioner in Coupeville, Washington and active in the NPI registry since February 2020. The organization holds a CLIA Microscopy certificate valid through April 4, 2028 and lists Kristy Anderson, Owner, as its authorized official.

NPPES Registry Identity

NPI1164054961
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameISLAND FACIAL AESTHETICS P.S.
Location Address30 NW BIRCH STCoupeville, WA 98239-3103
Mailing Address30 Nw Birch StCoupeville, WA 98239-3103 · (360) 678-1515 · Fax (360) 678-5037
Phone(360) 678-1515
Fax(360) 678-5037
Organization SubpartNo
Authorized OfficialKristy AndersonOwner · (360) 969-0805
Enumeration DateFebruary 10, 2020
Last NPPES UpdateDecember 18, 20203 updates tracked since enumeration
NPPES CertifiedDecember 18, 2020
✔ NPI 1164054961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
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.
30 NW BIRCH ST, Coupeville, WA 98239
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 50D2189867

Island Facial Aesthetics Ps · Coupeville, WA
Active · expires Apr 4, 2028
CLIA Number50D2189867
Laboratory TypeRural Health Clinic
Certificate Effective DateAugust 6, 2020
Certificate Expiration DateApril 4, 2028
Laboratory DirectorKristy Anderson
Laboratory Phone(360) 678-1515
Laboratory LocationIsland Facial Aesthetics Ps30 NW Birch St, Coupeville, WA 98239
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

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

KRISTY J ANDERSON ARNP
Nurse Practitioner (Family)
30 NW BIRCH ST
COUPEVILLE, WA 98239
Island County (360) 678-1515
SHANNON D TUMBLIN ARNP
Nurse Practitioner (Family)
30 NW BIRCH ST
COUPEVILLE, WA 98239
Island County (360) 678-1515

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 Island Facial Aesthetics P.S.'s NPI number?

The NPI number for Island Facial Aesthetics P.S. is 1164054961. It was assigned to this organization in the NPPES registry on February 10, 2020.

Where is Island Facial Aesthetics P.S. located?

Island Facial Aesthetics P.S. is located at 30 NW Birch St, Coupeville, WA 98239. The listed phone number is (360) 678-1515.

What is Island Facial Aesthetics P.S.'s specialty?

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

Does Island Facial Aesthetics P.S. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 50D2189867) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Island Facial Aesthetics P.S. accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Island Facial Aesthetics P.S. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Island Facial Aesthetics P.S. was last updated on December 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.