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

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
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Practice location Address checks out

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

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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