Kathleen Maria Duthie, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA60120202 Issued in WA

Practice address

105 W 8TH Ave
Ste 200
Spokane, WA 99204-2302

Phone

(509) 624-9112

Fax

(509) 624-1087

NPI assigned

Oct 9, 2009

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• T Daniel Dibble MD PC

  • Interventional Pain Medicine Physician
  • Spokane, WA
  • NPI 1346082344
  NPD (past)

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

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341964800000",
    "number": "1184959090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W 8TH AVE",
            "address_2": "STE 200",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042302",
            "telephone_number": "509-624-9112",
            "fax_number": "509-624-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W 8TH AVE",
            "address_2": "STE 200",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042302",
            "telephone_number": "509-624-9112",
            "fax_number": "509-624-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTHIE",
        "first_name": "KATHLEEN",
        "middle_name": "MARIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-09",
        "last_updated": "2012-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA60120202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON LABOR AND INDUSTRY",
            "identifier": "25597",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8559965",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Jesse Durrance, M.D.
• Courtney Joy Durrant
• Mariesa Z Durrant, PHARMD
• Madison Duskin
• Dominique L Duster
• Whitnie D Dutt, RDH
• Manaswita Dutta, SLP-CFY
• Sanjit K Dutta, MD
• Savanna Dutton
• Torrey Dutton

• Medical Physician Assistant in Spokane, WA
• Providers in Spokane, WA by specialty
• Medical Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; 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.