NPIMap

Organization Active NPI

Kaiser Foundation Health Plan of Washington

  • Multi-Specialty Clinic/Center
  • Renton, WA
National Provider Identifier
1124264577
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
Practice address
2715 Naches Ave SW # Gswa1N02
Renton, WA 98057-2627
Phone
(509) 241-7349
Fax
(509) 241-7628
NPI assigned
Jan 6, 2009
Last updated
Jul 6, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
KAISER FOUNDATION HEALTH PLAN OF WASHINGTONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Authorized official

Name
Michelle Barlow
Title
Manager
Phone
(509) 241-7343

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

2715 Naches Ave SW # Gswa1N02
Renton, WA 98057-2627

Mailing address

PO Box 34584
Seattle, WA 98124-1584
Phone (509) 241-7349

Other names 1

  • Group Health Cooperative Non King Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031112000454 WA Part B Supplier - Clinic/Group Practice 9032022579 Receives reassigned benefits from 3,062 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Group Health Coop of PG

Locations

2930 Maple St
Everett, WA 98201
Phone (425) 261-1500

1400 Pottery Ave
Port Orchard, WA 98366
Phone (360) 895-5000

19379 7th Ave NE
Poulsbo, WA 98370
Phone (360) 394-1000

17254 140th Ave SE
Renton, WA 98058
Phone (425) 226-7000

2715 Naches Ave SW
#1N2
Renton, WA 98057

526 228th Ave NE
Sammamish, WA 98074
Phone (425) 868-1112

201 16th Ave E
Seattle, WA 98112
Phone (206) 326-4545

5316 Rainier Ave S
Seattle, WA 98118
Phone (206) 721-5600

209 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 596-3300

Practitioners & affiliated clinicians

Practitioners 933

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 933

NPI Registry JSON

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625529600000",
    "number": "1124264577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34584",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241584",
            "telephone_number": "509-241-7349",
            "fax_number": "509-241-7628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 NACHES AVE SW # GSWA1N02",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572627",
            "telephone_number": "509-241-7349",
            "fax_number": "509-241-7628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER FOUNDATION HEALTH PLAN OF WASHINGTON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KAISER FOUNDATION HEALTH PLAN OF WASHINGTON",
        "enumeration_date": "2009-01-06",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A",
        "authorized_official_last_name": "BARLOW",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "509-241-7343"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "2715 Naches Ave SW # Gswa1N02",
            "city": "Renton",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980572627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Group Health Cooperative Non King",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Group Health Cooperative Non King",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.