Kathleen Elizabeth Kincaid, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP61189503 Issued in WA

Practice address

1125 SE Washington Street
Pullman, WA 99164-9686

Phone

(509) 335-3575

NPI assigned

Jul 6, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

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.

• Washington State University

  • Family Medicine Physician
  • Pullman, WA
  • NPI 1285713776
  NPD (past)

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1114598794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 NW CANYON VIEW DR",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991636011",
            "telephone_number": "509-595-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 SE WASHINGTON STREET",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991649686",
            "telephone_number": "509-335-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINCAID",
        "first_name": "KATHLEEN",
        "middle_name": "ELIZABETH",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-06",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61189503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE DEPARTMENT OF HEALTH",
            "identifier": "AP61189503",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS",
            "identifier": "F06210690",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Pullman",
            "affiliation": "N",
            "address_1": "1125 SE Washington Street",
            "city": "Pullman",
            "state": "WA",
            "country_code": "US",
            "postal_code": "991649686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kalee Kennedy
• Kenneth H. Cyr
• Laura J Keogh, RN
• Tracey Mabel Khatiera
• Nancy Kimani
• Carly King, PTA
• Anna Vladimirovna Kinyanjui, MT
• Marlis Cornelia Kirchhoff, PH.D.
• Risper Kirui, MD
• Matthew P Klein

• Family Nurse Practitioner in Pullman, WA
• Providers in Pullman, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; 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.