Michelle Kemmer

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

60018092 Issued in WA

Practice address

7013 Sandridge Rd
Long Beach, WA 98631-4703

Phone

(360) 642-9349

NPI assigned

Jul 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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• County of Pacific

  dba Pacific County Public Health and Human Service Department

  • Public Health or Welfare Agency
  • South Bend, WA
  • NPI 1508081217
  NPD (past)
• Providence Health & Services Washington

  dba Providence Community Care Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Olympia, WA
  • NPI 1023550050
  NPD (past)

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499299200000",
    "number": "1083135420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7013 SANDRIDGE RD",
            "city": "LONG BEACH",
            "state": "WA",
            "postal_code": "986314703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7013 SANDRIDGE RD",
            "city": "LONG BEACH",
            "state": "WA",
            "postal_code": "986314703",
            "telephone_number": "360-642-9349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMMER",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-06",
        "last_updated": "2017-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "WA",
            "license": "60018092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tim Jefferies, CDPT
• Casandra Jewell
• Jael T Johnson
• Jessica Jolly
• Jason Kagie, BA OF PSYCHOLOGY
• Destini Kirkwood, LMHCA, AAC
• Klean Long Beach, Wa, LLC
• Klean Physicians Group, LLC.
• Anna Marie Klingler
• Grant P Kolb

• Community Health Registered Nurse in Long Beach, WA
• Providers in Long Beach, WA by specialty
• Community Health Registered Nurse in Washington

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