Healthcare Provider Details

I. General information

NPI: 1801612015
Provider Name (Legal Business Name): KALEIGH LANE AKERS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/03/2024
Last Update Date: 03/12/2025
Certification Date: 03/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

853 WATSON ST N STE 200
ENUMCLAW WA
98022-3948
US

IV. Provider business mailing address

22818 146TH ST E
ORTING WA
98360-9149
US

V. Phone/Fax

Practice location:
  • Phone: 360-612-9510
  • Fax:
Mailing address:
  • Phone: 831-261-8223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP61636229
License Number StateWA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: