Active NPI
Kaitlyn Paige Herrmann, PA
- Physician Assistant
- Lacey, WA
National Provider Identifier
1023988987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 4326 Savannah Loop NE
Lacey, WA 98516-8904 - Phone
- (219) 796-6037
- NPI assigned
- Nov 6, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | WA | Primary |
Addresses
Primary practice location
4326 Savannah Loop NE
Lacey, WA 98516-8904
Mailing address
4326 Savannah Loop NE
Lacey, WA 98516-8904
Phone (219) 796-6037
Other practice location 1
11582 C Street
Joint Base Lewis McChord, WA 98433
Phone (253) 966-1991
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
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762387200000",
"number": "1023988987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4326 SAVANNAH LOOP NE",
"city": "LACEY",
"state": "WA",
"postal_code": "985168904",
"telephone_number": "219-796-6037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4326 SAVANNAH LOOP NE",
"city": "LACEY",
"state": "WA",
"postal_code": "985168904",
"telephone_number": "219-796-6037"
}
],
"practiceLocations": [
{
"address_1": "11582 C Street",
"address_purpose": "LOCATION",
"city": "Joint Base Lewis McChord",
"state": "WA",
"postal_code": "98433",
"country_code": "US",
"telephone_number": "253-966-1991",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERRMANN",
"first_name": "KAITLYN",
"middle_name": "PAIGE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-06",
"last_updated": "2025-11-06",
"certification_date": "2025-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lacey, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.