Active NPI
Kari Case Heistand, M.D.
- Psychiatry Physician
- Port Townsend, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD00045509
- Practice address
- 210 Polk St Ste 4a
Port Townsend, WA 98368-6739 - Phone
- (360) 385-9918
- Fax
- (360) 385-1496
- NPI assigned
- Sep 27, 2006
- Last updated
- Apr 29, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD00045509 | WA | Primary |
Addresses
Primary practice location
210 Polk St Ste 4a
Port Townsend, WA 98368-6739
Mailing address
96 Twinsview CT
Port Ludlow, WA 98365-9219
Phone (360) 621-9475
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Washington School of Medicine, 2002
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1303 Washington St
Port Townsend, WA 98368-6715
Phone (360) 385-9818
915 Sheridan St
Port Townsend, WA 98368-2931
Phone (360) 379-8031
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson County Public Hospital District No 2 | Current | Accepting new patients | |
| Port Townsend Psychiatric Medicine | Current | Accepting new patients | |
| Department of Social | Past | Accepting new patients | |
| Jefferson County Public Hospital District No 2 | Past | Accepting new patients |
Locations
1136 Water St
Ste 106
Port Townsend, WA 98368
Phone (360) 379-8779
1200 W Sims Way
Ste C
Port Townsend, WA 98368
Phone (360) 385-6297
1303 Washington St
Port Townsend, WA 98368
Phone (360) 385-3100
210 Polk St
Ste 4A
Port Townsend, WA 98368
Phone (206) 949-9391
915 Sheridan St
Port Townsend, WA 98368
Phone (360) 379-8031
Networks
- WA PPO C-SNP
- devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
Interoperability endpoints
- kheistand925430@wm.providencedirect.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Jefferson Healthcare
- Critical Access Hospital
- Port Townsend, WA
- NPI 1356492953
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Port Townsend, WA
- NPI 1467016444
-
dba Jefferson Healthcare Sheridan Clinic
- Rural Health Clinic/Center
- Port Townsend, WA
- NPI 1902850753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619654400000",
"number": "1043301930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 TWINSVIEW CT",
"city": "PORT LUDLOW",
"state": "WA",
"postal_code": "983659219",
"telephone_number": "360-621-9475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 POLK ST STE 4A",
"city": "PORT TOWNSEND",
"state": "WA",
"postal_code": "983686739",
"telephone_number": "360-385-9918",
"fax_number": "360-385-1496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEISTAND",
"first_name": "KARI",
"middle_name": "CASE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2021-04-29",
"certification_date": "2021-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "MD00045509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Townsend, WA
- Hearth Natural Medicine a Nonprofit Community Clinic (Hearth Natural Medicine)
- Heidi Brandt, DMD,MSD,&Stig Osterberg, DDS, MSD (Olympic Peninsula Implants & Peridontics)
- Jenna Anne Heil, BA, AAC
- Elisabeth Heiner, PSYD, LMHC
- Ross Heinzinger
- Kathryn S Henley, RN, APRN
- Kellie Christine Hergenrader
- Amy Hicks, LPN
- Steven Hillman, MD
- Kevin Thomas Hines, P.A.-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.