Kylie Malstrom, DNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP61576793 Issued in WA

Practice address

7520 Totem Beach Rd
Tulalip, WA 98271-6160

Phone

(360) 716-4511

NPI assigned

Apr 1, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, WA2 enrollments

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tulalip Tribes of WashingtonGroup PAC ID 7719879782, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Tulalip Tribes of Washington

  • General Practice Physician
  • Tulalip, WA
  • NPI 1770531501

  TX

  Medicare reassignment Care Compare group NPD
• Counseling Services for Wellbeing, Inc.

  • Marriage & Family Therapist
  • Burien, WA
  • NPI 1588080626
  Medicare reassignment NPD
• Tulalip Tribes of Washington

  • Public Health & General Preventive Medicine Physician
  • Tulalip, WA
  • NPI 1831325687
  NPD
• Tulalip Tribes of Washington

  • Optometrist
  • Tulalip, WA
  • NPI 1831946797
  NPD

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1205687621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7520 TOTEM BEACH RD",
            "city": "TULALIP",
            "state": "WA",
            "postal_code": "982716160",
            "telephone_number": "253-833-7444",
            "fax_number": "360-716-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7520 TOTEM BEACH RD",
            "city": "TULALIP",
            "state": "WA",
            "postal_code": "982716160",
            "telephone_number": "360-716-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALSTROM",
        "first_name": "KYLIE",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-01",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61576793",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN61206916",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth F. Lobo, LMT, RC
• Alessa L Lopez-Castor, FNP-C
• Ellie T Lorenz, BA,CDP
• April Lumbert
• Patrick J Mahoney, OTR/L
• Josie Marchesi, PA-S
• Margie'S Home Care, L.L.C.
• Jennifer Katherine McCaslin, RN
• William Corbell McKay, M.ED.
• Jason McKerry, MD

• Psychiatric/Mental Health Nurse Practitioner in Tulalip, WA
• Providers in Tulalip, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.