Katie Aldrich, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Shelton, WA
NPI 1003450800 · NPPES record last updated Feb 3, 2021
Key facts
- NPI
- 1003450800
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 44873 (WY)
- Practice address
- 1701 N 13TH St
Shelton, WA 98584-2077 - Phone
- (360) 426-1611
- NPI assigned
- Nov 5, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WA, WY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191224000406 | WA | Practitioner - Nurse Practitioner | 6406280585 | Reassigns benefits to 1 organization |
| I20250611001244 | WY | Practitioner - Nurse Practitioner | 6406280585 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital District No 1 of Mason County | Current |
Accepting new patients | |
| Public Hospital District No 1 of Mason County Wa | Current |
Accepting new patients | |
| Hope and Healing Counseling, LLC | Current |
Accepting new patients |
Locations
237 Professional Way
Shelton, WA 98584
Phone (360) 426-2500
1701 N 13th St
Shelton, WA 98584
Phone (360) 426-2653
901 Mountain View Dr
Shelton, WA 98584
Phone (360) 426-1611
1217 S Greeley Hwy
Ste B
Cheyenne, WY 82007
Phone (307) 202-4005
Interoperability endpoints
- katie.aldrich.1@30920.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 44873 | WY | Yes |
Addresses
Primary practice location
1701 N 13TH St
Shelton, WA 98584-2077
Mailing address
PO Box 1668
Shelton, WA 98584-5001
Phone (604) 262-6533
Other providers in Shelton, WA
- A Destination Massage & Spa
- Jenni Rubio Aaseby
- Rebecca Lynn Adams
- Advanced Chiropractic Rehabilitation Inc
- Leonard H. Albert
- Doris Lynn Alexander
- Devin Allan
- Andrea Allen
- Devin Ray Allen
- Jacinda Violetann Allen
All providers in Shelton, WA · Psychiatric/Mental Health Nurse Practitioner in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.