Active NPI
Rosemarie Ann Kennaley, MD
- Family Medicine Physician
- Bothell, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD.MD.70120368
- Practice address
- 1909 214TH St SE Ste 205
Bothell, WA 98021-4415 - Phone
- (425) 420-1657
- Fax
- (425) 420-1644
- NPI assigned
- Aug 9, 2008
- Last updated
- Jul 20, 2026
- 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 Medicine Physician | 207Q00000X | MD.MD.70120368 | WA | Primary |
Addresses
Primary practice location
1909 214TH St SE Ste 205
Bothell, WA 98021-4415
Mailing address
1728 W Marine View Dr Ste 110
Everett, WA 98201-2094
Phone (425) 259-4041
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- McMaster Un, Michael Degroote School of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3636 N Stockton Hill Rd
Kingman, AZ 86409-0514
Phone (928) 757-3636
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23812 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aims Physicians and Surgeons | Family Medicine | Current | Accepting new patients |
| Logan Health - Conrad | Current | Accepting new patients | |
| Western Washington Medical Group, Inc PS | Current | Accepting new patients | |
| Logan Health - Conrad | Current | Accepting new patients | |
| Logan Health - Conrad | Current | Accepting new patients | |
| Livn, P.C. | Family Medicine | Past | Accepting new patients |
| Western Washington Medical Group Inc PS | Family Medicine | Past | Accepting new patients |
Locations
3636 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-3636
809 Sunset Blvd
Conrad, MT 59425
Phone (406) 271-3211
1909 214th St SE
Ste 205
Bothell, WA 98021
Phone (425) 248-2626
1728 W Marine View Dr
Ste 110
Everett, WA 98201
Phone (425) 259-4041
Organizations & group practices 8
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
- Kingman, AZ
- NPI 1073699112
-
- Urgent Care Clinic/Center
- Kingman, AZ
- NPI 1881680122
-
- Critical Access Hospital
- Conrad, MT
- NPI 1467445049
-
dba WWMG Arthritis Clinc
- Rheumatology Physician
- Bothell, WA
- NPI 1538606413
-
dba Logan Health Rural Health Clinic - Conrad
- Rural Health Clinic/Center
- Conrad, MT
- NPI 1669461703
-
- Family Medicine Physician
- Bothell, WA
- NPI 1780522615
-
- Family Medicine Physician
- Chandler, AZ
- NPI 1245759307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784505600000",
"number": "1205082211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1728 W MARINE VIEW DR STE 110",
"city": "EVERETT",
"state": "WA",
"postal_code": "982012094",
"telephone_number": "425-259-4041",
"fax_number": "425-740-4155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1909 214TH ST SE STE 205",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980214415",
"telephone_number": "425-420-1657",
"fax_number": "425-420-1644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNALEY",
"first_name": "ROSEMARIE",
"middle_name": "ANN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-09",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD.MD.70120368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bothell, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.