Active NPI
Kathleen Mary Sanders, NURSE PRACTITIONER
- Nurse Practitioner
- Seattle, WA
National Provider Identifier
1144347691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP60771599
- Practice address
- 825 Eastlake Ave E
Seattle, WA 98109-4405 - Phone
- (206) 288-1000
- Fax
- (206) 288-1025
- NPI assigned
- Mar 22, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP60771599 | WA | Primary |
Addresses
Primary practice location
825 Eastlake Ave E
Seattle, WA 98109-4405
Mailing address
PO Box 50095
Seattle, WA 98145-5095
Phone (206) 520-5700
Other practice location 1
161 Fort Washington Ave
New York, NY 10032-3729
Phone (212) 305-5098
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144347691 | Medicaid | WA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003938 | CT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511222400000",
"number": "1144347691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50095",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981455095",
"telephone_number": "206-520-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 EASTLAKE AVE E",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981094405",
"telephone_number": "206-288-1000",
"fax_number": "206-288-1025"
}
],
"practiceLocations": [
{
"address_1": "161 Fort Washington Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100323729",
"country_code": "US",
"telephone_number": "212-305-5098",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDERS",
"first_name": "KATHLEEN",
"middle_name": "MARY",
"name_prefix": "Ms.",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2017-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP60771599",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1144347691",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.