Active NPI
Kathleen Henry, ARNP
- Family Nurse Practitioner
- Onalaska, WA
National Provider Identifier
1174566087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP30001481
- Practice address
- 1810 Hwy 508
Onalaska, WA 98570 - Phone
- (360) 978-6660
- NPI assigned
- Jun 14, 2006
- Last updated
- Jan 31, 2013
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP30001481 | WA | Primary |
Addresses
Primary practice location
1810 Hwy 508
Onalaska, WA 98570
Mailing address
2690 NE Kresky Ave
Chehalis, WA 98532-2412
Phone (360) 330-9595
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
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highline Medical Group Inc | Family | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Burien, WA
- NPI 1982652400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359590400000",
"number": "1174566087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2690 NE KRESKY AVE",
"city": "CHEHALIS",
"state": "WA",
"postal_code": "985322412",
"telephone_number": "360-330-9595",
"fax_number": "360-330-9560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1810 HWY 508",
"city": "ONALASKA",
"state": "WA",
"postal_code": "98570",
"telephone_number": "360-978-6660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "KATHLEEN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-14",
"last_updated": "2013-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP30001481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Onalaska, WA
- Madison Lynn Arndt, PA-C
- Tamara Edith Joan Ball
- Annie Bhagwandin, LMP
- Stephany Luray Emerson, LMP
- Fresh Start LLC
- Mark R Leadbetter, MD
- Lewis County Community Health Services (Valley View Health Center - Onalaska)
- Lewis County Fire Protection District 1 (Onalaska Ambulance)
- Larry Meade, C.D.P.C, C.C.C
- Marina V Olsen, MSC, CDP, NCAC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.