Active NPI
Peter L Kane, RC
- Counselor
- Redmond, WA
National Provider Identifier
1043482201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 00017449
- Practice address
- 16710 NE 79TH St Ste 202
Redmond, WA 98052-4466 - Phone
- (425) 802-2050
- NPI assigned
- Mar 27, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 00017449 | WA | Primary |
Addresses
Primary practice location
16710 NE 79TH St Ste 202
Redmond, WA 98052-4466
Mailing address
16710 NE 79TH St Ste 202
Redmond, WA 98052-4466
Phone (425) 802-2050
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 |
|---|---|---|---|
| 00017449 | WA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206576000000",
"number": "1043482201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16710 NE 79TH ST STE 202",
"city": "REDMOND",
"state": "WA",
"postal_code": "980524466",
"telephone_number": "425-802-2050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16710 NE 79TH ST STE 202",
"city": "REDMOND",
"state": "WA",
"postal_code": "980524466",
"telephone_number": "425-802-2050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANE",
"first_name": "PETER",
"middle_name": "L",
"credential": "RC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-27",
"last_updated": "2008-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "00017449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.