Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Calista Ku

Individual provider Primary Care Nurse Practitioner · NPI 1982122750

Calista Ku is a Nurse Practitioner in Seattle, Washington. Qualified in 2017, 9 years ago. Practices with Overlake Medical Clinics LLC, a 426-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
9
Licensed in
WA
In the registry since
2017
Specialties on file
2

Practice location Address checks out

904 7th Ave
Seattle, WA 98104
Phone: (206) 860-4669
Fax: (206) 860-2269
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 18323 98th Ave Ne Ste 3, Bothell, WA 98011-3358 — (425) 806-8360
  • 18323 98th Ave Ne Ste 3, Bothell, WA 98011-3358 — (425) 806-8360

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP60778925 (WA)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence AP60778925 (WA)

Record details

NPI number1982122750
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 31, 2017
Last updated in NPPESOctober 23, 2019
Mailing address1145 Broadway Fl 2, Seattle, WA 98122-4201

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Overlake Medical Clinics Llc — 426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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