Individual provider Active NPI

Esther Laura Kittle, MD

  • Family Medicine Physician
  • Chehalis, WA
National Provider Identifier
1205959459
Registry record updated Jul 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00047118 Issued in WA
Practice address
1299 Bishop Rd
Chehalis, WA 98532-8758
Phone
(360) 748-0211
Fax
(360) 748-8732
NPI assigned
Apr 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00047118 WA Primary

Addresses

Primary practice location

1299 Bishop Rd
Chehalis, WA 98532-8758

Mailing address

PO Box 1267
Chehalis, WA 98532-0260
Phone (360) 748-0211

Other names 1

  • Mrs. Esther Laura Kittle/Nordman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00047118WAMDFamily Medicine Physician
8479MTMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, Inc PastSince Jul 14, 2014 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436140800000",
    "number": "1205959459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1267",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985320260",
            "telephone_number": "360-748-0211",
            "fax_number": "360-748-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 BISHOP RD",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985328758",
            "telephone_number": "360-748-0211",
            "fax_number": "360-748-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITTLE",
        "first_name": "ESTHER",
        "middle_name": "LAURA",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2015-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00047118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ESTHER",
            "last_name": "KITTLE/NORDMAN",
            "middle_name": "LAURA",
            "prefix": "MRS.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chehalis, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; 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.