Active NPI
Kathryn L Pimentel, CPO
- Prosthetist
- Everett, WA
National Provider Identifier
1013488071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- PS60746523
- Practice address
- 4009 Colby Ave
Everett, WA 98201-4928 - Phone
- (425) 252-5309
- NPI assigned
- Dec 16, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | OI60827750 | WA | |
| Prosthetist | 224P00000X | PS60746523 | WA | Primary |
Addresses
Primary practice location
4009 Colby Ave
Everett, WA 98201-4928
Mailing address
4009 Colby Ave
Everett, WA 98201-4928
Phone (425) 252-5309
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OI60827750 | WA | MD | Orthotist |
| PS60746523 | WA | MD | Prosthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544918400000",
"number": "1013488071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4009 COLBY AVE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014928",
"telephone_number": "425-252-5309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4009 COLBY AVE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014928",
"telephone_number": "425-252-5309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIMENTEL",
"first_name": "KATHRYN",
"middle_name": "L",
"credential": "CPO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-16",
"last_updated": "2018-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "WA",
"license": "OI60827750",
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "WA",
"license": "PS60746523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.