Active NPI
Debra Kay Kaitschuck, MC
- Counselor
- Tacoma, WA
National Provider Identifier
1114101656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1201 S Proctor St
Tacoma, WA 98405-2047 - Phone
- (253) 396-5878
- NPI assigned
- Dec 19, 2007
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1201 S Proctor St
Tacoma, WA 98405-2047
Mailing address
903 Northup Way
Apt a
Bellevue, WA 98008-3847
Phone (425) 679-6679
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RC00058639 | Other | WA | REGISTERED COUNSELOR # |
Other names 1
- Miss Debra Kay Lofgreen
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198022400000",
"number": "1114101656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "903 NORTHUP WAY",
"address_2": "APT A",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980083847",
"telephone_number": "425-679-6679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 S PROCTOR ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984052047",
"telephone_number": "253-396-5878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAITSCHUCK",
"first_name": "DEBRA",
"middle_name": "KAY",
"name_prefix": "Mrs.",
"credential": "MC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-19",
"last_updated": "2007-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED COUNSELOR #",
"identifier": "RC00058639",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DEBRA",
"last_name": "LOFGREEN",
"middle_name": "KAY",
"prefix": "MISS",
"credential": "MC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.