Jill Claire Kinney, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY00000337 Issued in WA

Practice address

20 N Tacoma Ave Ste B
Office #3
Tacoma, WA 98403-3133

Phone

(206) 849-3645

NPI assigned

May 17, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1969

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305590400000",
    "number": "1184917650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 TOWN CENTER",
            "address_2": "SUITE 180 #19",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984221193",
            "telephone_number": "206-849-3645",
            "fax_number": "253-517-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N TACOMA AVE STE B",
            "address_2": "OFFICE #3",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984033133",
            "telephone_number": "206-849-3645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNEY",
        "first_name": "JILL",
        "middle_name": "CLAIRE",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-17",
        "last_updated": "2011-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY00000337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Lynn Kingston, ARNP FNP- BC
• Emilyann Noel Kinlaw, RDN
• Kinnect LLC
• Andrea Ky Kinney, ARNP
• James B. Kinney Jr., M.D.
• Kurt Gary Kinney, M.D.
• Linda Jean Kinney, LPN
• Tonya Kinney, RN CASE MANAGER
• James F Kinoshita I, DDS
• James Monroe Kinsey, RN

• Psychologist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.