Individual provider Active NPI

Kathryn M Osborne

  • Medical Physician Assistant
  • Silverdale, WA
National Provider Identifier
1124420674
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA60611261 Issued in WA
Practice address
1780 NW Myhre Rd Ste 1220
Silverdale, WA 98383-8676
Phone
(360) 698-4505
Fax
(253) 952-6824
NPI assigned
Sep 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA60611261 WA
Surgical Physician Assistant 363AS0400X PA60611261 WA
Medical Physician Assistant 363AM0700X PA60611261 WA Primary

Addresses

Primary practice location

1780 NW Myhre Rd Ste 1220
Silverdale, WA 98383-8676

Mailing address

1780 NW Myhre Rd Ste 1220
Silverdale, WA 98383-8676
Phone (360) 698-4505

Other practice location 1

311 S L St
Tacoma, WA 98405-3720
Phone (253) 350-7130

Other identifiers 1

IdentifierTypeStateIssuer
2050138MedicaidWA

Other names 1

  • Kate M Osborne Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kosborne472415@fhsce.catholichealth.net
Direct Messaging Address kosborne472415@fhsce.catholichealth.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160105000584 WA Practitioner - Physician Assistant 2668774928 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

1800 NW Myhre Rd
Silverdale, WA 98383-7663
Phone (564) 240-1000

1812 S J St
Suite 120
Tacoma, WA 98405-4965
Phone (253) 428-2200

1901 S Union Ave
Tacoma, WA 98405-1702

4545 Point Fosdick Dr
Gig Harbor, WA 98335-1700
Phone (253) 530-8011

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

Hospital & facility affiliations

  • St Michael Medical Center Hospital, Silverdale, WA, CCN 500039
  • Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129
  • Multicare Auburn Medical Center Hospital, Auburn, WA, CCN 500015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA60611261WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group CurrentSince May 15, 2019 Accepting new patients
Franciscan Medical Group CurrentSince May 15, 2019 Accepting new patients
Multicare Health System CurrentSince Jan 25, 2016 Accepting new patients
Multicare Health System CurrentSince Jan 25, 2016 Accepting new patients
Franciscan Medical Group Current Accepting new patients
Multicare Health System Current Accepting new patients
Franciscan Medical Group Physician Assistant Past Accepting new patients
Multicare Health System Physician Assistant Past Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

200 Lilly Rd NE
Ste C
Olympia, WA 98506
Phone (360) 918-8336

402 15th Ave SE
Puyallup, WA 98372
Phone (253) 445-5045

1780 NW Myhre Rd
Ste 1220
Silverdale, WA 98383
Phone (360) 337-6500

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

317 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 403-1400

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1124420674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 NW MYHRE RD STE 1220",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838676",
            "telephone_number": "360-698-4505",
            "fax_number": "253-952-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 NW MYHRE RD STE 1220",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838676",
            "telephone_number": "360-698-4505",
            "fax_number": "253-952-6824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 S L St",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984053720",
            "country_code": "US",
            "telephone_number": "253-350-7130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "KATHRYN",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-16",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60611261",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WA",
            "license": "PA60611261",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA60611261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2050138",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kosborne472415@fhsce.catholichealth.net",
            "affiliation": "N",
            "address_1": "1780 NW Myhre Rd Ste 1220",
            "city": "Silverdale",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983838676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kosborne472415@fhsce.catholichealth.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1780 NW Myhre Rd Ste 1220",
            "city": "Silverdale",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983838676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATE",
            "last_name": "OSBORNE",
            "middle_name": "M",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Silverdale, WA

Sources for this page

Verify at the official NPI Registry.