Individual provider Active NPI

Kathleen Wey Driscoll, ARNP

  • Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1215358270
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60427518 Issued in WA
Practice address
1629 N 45TH St
Seattle, WA 98103-6701
Phone
(206) 633-3350
NPI assigned
Dec 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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 AP60427518 WA Primary

Addresses

Primary practice location

1629 N 45TH St
Seattle, WA 98103-6701

Mailing address

1200 12TH Ave S
Suite 901
Seattle, WA 98144-2712
Phone (206) 548-3114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140211001935 WA Practitioner - Nurse Practitioner 9537398755 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60427518WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborcare Health Current Accepting new patients
Neighborcare Health CurrentSince Jan 13, 2014 Accepting new patients
Neighborcare Health CurrentSince Jan 13, 2014 Accepting new patients
Neighborcare Health Current Accepting new patients

Locations

12721 30th Ave NE
Ste 101
Seattle, WA 98125
Phone (206) 417-0326

6020 35th Ave SW
Seattle, WA 98126
Phone (206) 461-6950

1200 12th Ave S
Ste 901
Seattle, WA 98144
Phone (206) 548-3058

4400 37th Ave S
Seattle, WA 98118
Phone (206) 296-4650

1629 N 45th St
Seattle, WA 98103
Phone (206) 633-3350

9245 Rainier Ave S
Seattle, WA 98118
Phone (206) 461-6981

Interoperability endpoints

  • Direct secure messaging: kdriscoll307191@direct.ochin.org

Organizations & group practices 4

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": "1387324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453852800000",
    "number": "1215358270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 12TH AVE S",
            "address_2": "SUITE 901",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442712",
            "telephone_number": "206-548-3114",
            "fax_number": "206-762-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 N 45TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036701",
            "telephone_number": "206-633-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRISCOLL",
        "first_name": "KATHLEEN",
        "middle_name": "WEY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-18",
        "last_updated": "2016-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60427518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.