Kathleen Herron, LMP

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA00009984 Issued in WA

Practice address

400 E Pioneer Ave
Suite 208
Puyallup, WA 98372-3255

Phone

(253) 973-1659

NPI assigned

Mar 19, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1033380894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E PIONEER AVE",
            "address_2": "SUITE 208",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723255",
            "telephone_number": "253-973-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E PIONEER AVE",
            "address_2": "SUITE 208",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723255",
            "telephone_number": "253-973-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRON",
        "first_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00009984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Hernandez, ARNP
• Dorothy Michelle Hernandez
• Keith Mark Herner, RPH
• Glenn Herrera
• Oscar Herrera
• Lindsay Herron
• Stuart G Hersey, D.D.S., M.S.D.
• Annette Hess, MS
• Wendy Leigh Heusch, DO
• Vankosin Hewitt, MASSAGE THERAPIST

• Specialist in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.