Kathryn S Brault, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP30007186 Issued in WA

Practice address

1305 Mansfield St Ste 4
Richland, WA 99352-3588

Phone

(509) 946-6124

Fax

(866) 692-4493

NPI assigned

Jul 1, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kathryn S Boucher Former name

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grace Clinic

  • Family Medicine Physician
  • Kennewick, WA
  • NPI 1407670839
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1023047214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 MANSFIELD ST STE 4",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523588",
            "telephone_number": "509-946-6124",
            "fax_number": "866-692-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 MANSFIELD ST STE 4",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523588",
            "telephone_number": "509-946-6124",
            "fax_number": "866-692-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAULT",
        "first_name": "KATHRYN",
        "middle_name": "S",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30007186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9650177",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "BOUCHER",
            "middle_name": "S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Bramhall, ARNP
• Tina G Branson, PA-C
• Karen Kathleen Brashear, MSW, LSWAIC
• Dennis J Braudrick, MA
• Jamie Loretta Brault, M.ED.
• Kristi Ileen Brault, ARNP
• Salud Bravo, CMA
• Christine E Bray, LMHCA
• Tanya Donna Brayer-Tymchuk, DC
• Kenneth E Breeden, DO

• Family Nurse Practitioner in Richland, WA
• Providers in Richland, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.