NPIMap

Individual provider Active NPI

Katie Lorraine Pauley, ARNP

  • Nurse Practitioner
  • Olympia, WA
National Provider Identifier
1205409711
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP61183792 Issued in WA
Practice address
3901 Capital Mall Dr SW Ste a
Olympia, WA 98502-8654
Phone
(360) 709-6230
NPI assigned
Jul 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP61183792 WA Primary

Addresses

Primary practice location

3901 Capital Mall Dr SW Ste a
Olympia, WA 98502-8654

Mailing address

PO Box 368
Olympia, WA 98507-0368
Phone (360) 709-6230

Other names 1

  • Miss Katie Lorraine Sinnott Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210811003869 WA Practitioner - Nurse Practitioner 0042614141 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3909 9TH Ave SW
Olympia, WA 98502-5134
Phone (360) 570-3460

615 Lilly Rd NE
Olympia, WA 98506-5117
Phone (360) 491-4211

Hospital & facility affiliations

  • Providence St Peter Hospital Hospital, Olympia, WA, CCN 500024
  • Summit Pacific Medical Center Hospital, Elma, WA, CCN 501304
  • Grays Harbor Community Hospital Hospital, Aberdeen, WA, CCN 500031
  • Mason General Hospital & Family of Clinics Hospital, Shelton, WA, CCN 501336
  • Capital Medical Center Hospital, Olympia, WA, CCN 500139

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP61183792WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital District No 1 of Mason County Current Accepting new patients
Public Hospital District No 1 of Mason County Wa CurrentSince Dec 25, 2021 Accepting new patients
Olympia Orthopaedic Associates PLLC CurrentSince Aug 2, 2021 Accepting new patients
Olympia Orthopaedic Associates, PLLC CurrentSince Aug 2, 2021 Accepting new patients
Public Hospital District No 1 of Mason County CurrentSince Dec 25, 2021 Accepting new patients

Locations

615 Lilly Rd NE
Ste 100
Olympia, WA 98506
Phone (360) 491-4211

3901 Capital Mall Dr SW
Ste B
Olympia, WA 98502
Phone (360) 528-8571

3901 Capital Mall Dr SW
#A
Olympia, WA 98502
Phone (360) 570-3460

3909 9th Ave SW
Olympia, WA 98502
Phone (360) 570-3460

615 Lilly Rd NE
Ste 240
Olympia, WA 98506
Phone (360) 413-3850

1701 N 13th St
Shelton, WA 98584
Phone (360) 426-2653

901 Mountain View Dr
Shelton, WA 98584
Phone (360) 426-1611

Interoperability endpoints

  • Direct secure messaging: katie.pauley.1@5512.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/5512/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1205409711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 368",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985070368",
            "telephone_number": "360-709-6230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 CAPITAL MALL DR SW STE A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028654",
            "telephone_number": "360-709-6230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULEY",
        "first_name": "KATIE",
        "middle_name": "LORRAINE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61183792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "SINNOTT",
            "middle_name": "LORRAINE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.