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

Kelly Dart, FNP

Individual provider Family Nurse Practitioner · NPI 1639670656

Kelly Dart, FNP is a Nurse Practitioner in Lakewood, Washington. Qualified in 2017, 9 years ago. Practices with Allergy and Asthma Specialty Service Ps, a 6-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
9
Licensed in
WA
In the registry since
2018
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

11203 Bridgeport Way SW
Lakewood, WA 98499-3002
Phone: (253) 589-1380
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 60833349 (WA)

Record details

NPI number1639670656
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedFebruary 25, 2018
Last updated in NPPESApril 26, 2023
Certification dateApril 26, 2023
Mailing address11203 Bridgeport Way Sw, Lakewood, WA 98499-3002

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 Allergy And Asthma Specialty Service Ps — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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