Susan Kindy, RN

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

RN60230982 Issued in WA

Practice address

1960 Thompson Dr
Sedro Woolley, WA 98284-5007

Phone

(360) 856-3165

NPI assigned

Dec 6, 2017

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512518400000",
    "number": "1043725559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7440 W MARGINAL WAY S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981084141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 THOMPSON DR",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982845007",
            "telephone_number": "360-856-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINDY",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-06",
        "last_updated": "2017-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "RN60230982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peyton Emelia Kettleband
• Charles W Kimmel III
• Marisa Lynn Kimmel
• William E Kimmel
• Krista Jean Kindred
• Alyssa King, DNP
• Christopher S King, MD
• Karelisa Elaine King, RD, CD
• Brenda Joanne Kinzer
• Christy Ann Kirschman, RN

• Addiction (Substance Use Disorder) Registered Nurse in Sedro Woolley, WA
• Providers in Sedro Woolley, WA by specialty
• Addiction (Substance Use Disorder) Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; 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.