Active NPI
Kirsten Marie Bayne, CPO, NRP
- Prosthetist
- Puyallup, WA
National Provider Identifier
1154710119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- PS60564404
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 139964 | OR | MD | Paramedic |
| 208354 | PA | MD | Paramedic |
| OI 60474160 | WA | MD | Orthotist |
| PS60564404 | WA | MD | Prosthetist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Prosthetic/Orthotic Supplier
- Tacoma, WA
- NPI 1649381534
Orthotist
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.