Individual provider Active NPI

Kirsten Marie Bayne, CPO, NRP

  • Prosthetist
  • Puyallup, WA
National Provider Identifier
1154710119
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
PS60564404 Issued in WA
Practice address
1450 5TH St SE Ste 1700
Puyallup, WA 98372-4602
Phone
(253) 840-0227
Fax
(253) 840-1176
NPI assigned
Jan 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X 208354 PA
Paramedic 146L00000X 139964 OR
Orthotist 222Z00000X OI 60474160 WA
Prosthetist 224P00000X PS60564404 WA Primary

Addresses

Primary practice location

1450 5TH St SE Ste 1700
Puyallup, WA 98372-4602

Mailing address

1450 5TH St SE Ste 1700
Puyallup, WA 98372-4602
Phone (253) 840-0227

Other practice location 1

723 Martin Luther King Jr Way
Tacoma, WA 98405-4139
Phone (253) 383-4447

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

State licenses

LicenseStateTypeSpecialty
139964ORMDParamedic
208354PAMDParamedic
OI 60474160WAMDOrthotist
PS60564404WAMDProsthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Hanger Prosthetics & Orthotics West, Inc Orthotist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1154710119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 5TH ST SE STE 1700",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983724602",
            "telephone_number": "253-840-0227",
            "fax_number": "253-840-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 5TH ST SE STE 1700",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983724602",
            "telephone_number": "253-840-0227",
            "fax_number": "253-840-1176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "723 Martin Luther King Jr Way",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984054139",
            "country_code": "US",
            "telephone_number": "253-383-4447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAYNE",
        "first_name": "KIRSTEN",
        "middle_name": "MARIE",
        "credential": "CPO, NRP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-14",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "PA",
            "license": "208354",
            "primary": false
        },
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "OR",
            "license": "139964",
            "primary": false
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "WA",
            "license": "OI 60474160",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "WA",
            "license": "PS60564404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.