Individual provider Active NPI

Kali Louise Doyle, MSN, APRN, PNP-PC

  • Pediatric Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1083329072
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
61381890 Issued in WA
Practice address
759 E Holland Ave Unit 101
Spokane, WA 99218-1257
Phone
(509) 270-0065
NPI assigned
Jan 16, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 61381890 WA Primary

Addresses

Primary practice location

759 E Holland Ave Unit 101
Spokane, WA 99218-1257

Mailing address

67 S Legacy Ridge Dr
Liberty Lake, WA 99019-6038
Phone (847) 707-5948

Other practice location 1

2S398 Creekside Ct
Elburn, IL 60119-8510
Phone (847) 707-5948

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
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
61381890WAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mt. Spokane Pediatrics, PLLC Pediatrics CurrentSince Jan 12, 2025 Accepting new patients

Locations

759 E Holland Ave
#101
Spokane, WA 99218

Interoperability endpoints

  • Direct secure messaging: kali.doyle@748470680682500.direct.elationemr.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1083329072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 S LEGACY RIDGE DR",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990196038",
            "telephone_number": "847-707-5948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "759 E HOLLAND AVE UNIT 101",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181257",
            "telephone_number": "509-270-0065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2S398 Creekside Ct",
            "address_purpose": "LOCATION",
            "city": "Elburn",
            "state": "IL",
            "postal_code": "601198510",
            "country_code": "US",
            "telephone_number": "847-707-5948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "KALI",
        "middle_name": "LOUISE",
        "credential": "MSN, APRN, PNP-PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-16",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WA",
            "license": "61381890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.