Individual provider Active NPI

Kathleen Michelle Boyer, D.O.

  • Diagnostic Radiology Physician
  • Tacoma, WA
National Provider Identifier
1235541285
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
OP61072723 Issued in WA
Practice address
1304 Fawcett Ave Ste 100
Tacoma, WA 98402-1900
Phone
(253) 761-4200
NPI assigned
May 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X OP61072723 WA Primary
Pediatric Radiology Physician 2085P0229X OP61072723 WA
Pediatric Radiology Physician 2085P0229X 5101022176 MI
Pediatric Radiology Physician 2085P0229X 14241252-1204 UT

Addresses

Primary practice location

1304 Fawcett Ave Ste 100
Tacoma, WA 98402-1900

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Other practice location 1

100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Phone (801) 487-0451

Other practice location 2

1 Jarrett White Rd
Tripler Army Medical Center
Tripler Army Medical Center, HI 96859-5001
Phone (808) 433-2474

Other practice location 3

1 Jarrett White Rd
Tripler Army Medical Center
Tripler Army Medical Center, HI 96859-5001
Phone (808) 433-2474

Other practice location 4

9040 Jackson Ave
Tacoma, WA 98431-0001
Phone (253) 968-9729

Other practice location 5

3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone (248) 207-3287

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL MAMCNetwork
Direct Messaging Address kboyer43966@upmc.direct-ci.com
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Bluemark LLC/ Office Ally

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210511001078 PA Practitioner - Pediatric MedicinePractitioner - Diagnostic Radiology 1052720687 Reassigns benefits to 1 organization
I20240530003724 WA Practitioner - Diagnostic Radiology 1052720687 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101022176MIMDPediatric Radiology Physician
14241252-1204UTMDPediatric Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tra Medical Imaging Centers LLC CurrentSince Dec 1, 2025 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance CurrentSince May 1, 2024 Accepting new patients
Tellica Imaging, LLC CurrentSince Jun 22, 2026 Accepting new patients
Tra-Minw P S CurrentSince May 1, 2024 Accepting new patients
Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance CurrentSince May 1, 2024 Accepting new patients
Tellica Imaging, LLC CurrentSince Jun 22, 2026 Accepting new patients
University of Pittsburgh Physicians Pediatric Radiology CurrentSince Apr 1, 2021 Accepting new patients
Tellica Imaging, LLC CurrentSince Jun 22, 2026 Accepting new patients
Union Avenue Open MRI LLC CurrentSince May 1, 2024 Accepting new patients
Tra-Minw P S Past Accepting new patients

Locations (25 of 60)

4401 Penn Ave
Pittsburgh, PA 15224
Phone (412) 692-5030

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

205 10th St NE
Auburn, WA 98002
Phone (253) 351-5300

122 3rd St NE
Auburn, WA 98002
Phone (253) 833-7750

21110 Sr 410 E
Ste 110
Bonney Lake, WA 98391

9230 Sky Island Dr E
Bonney Lake, WA 98391
Phone (253) 750-6000

5900 State Highway 303 NE
Bremerton, WA 98311
Phone (253) 459-6633

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

16045 1st Ave S
Burien, WA 98148
Phone (206) 965-4100

16259 Sylvester Rd SW
Burien, WA 98166
Phone (206) 241-5400

27111 167th Pl SE
Ste 101
Covington, WA 98042

3021 Griffin Ave
Enumclaw, WA 98022
Phone (253) 833-6241

1455 Battersby Ave
Enumclaw, WA 98022
Phone (253) 552-5615

30809 1st Ave S
Ste 2601
Federal Way, WA 98003

34503 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8280

34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100

30809 1st Ave S
Federal Way, WA 98003
Phone (253) 839-2030

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

11567 Canterwood Blvd
Gig Harbor, WA 98332
Phone (253) 530-2000

5122 Olympic Dr
Ste A203
Gig Harbor, WA 98335
Phone (253) 530-8000

4700 Point Fosdick Dr
Ste 110
Gig Harbor, WA 98335
Phone (253) 759-2622

6140 E Lake Sammamish Pkwy SE
Ste F
Issaquah, WA 98029

17700 SE 272nd St
Kent, WA 98042
Phone (253) 372-6500

12475 Totem LK Blvd NE
Kirkland, WA 98034

9537 Gravelly Lake Dr SW
Ste E10
Lakewood, WA 98499
Phone (253) 984-2000

Interoperability endpoints

  • Direct secure messaging: kboyer43966@upmc.direct-ci.com
  • FHIR API: https://app.meldrx.com/api/fhir/ei-trami

Organizations & group practices 11

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": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1235541285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 FAWCETT AVE STE 100",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984021900",
            "telephone_number": "253-761-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 N Mario Capecchi Dr",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841131103",
            "country_code": "US",
            "telephone_number": "801-487-0451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Jarrett White Rd",
            "address_2": "Tripler Army Medical Center",
            "address_purpose": "LOCATION",
            "city": "Tripler Army Medical Center",
            "state": "HI",
            "postal_code": "968595001",
            "country_code": "US",
            "telephone_number": "808-433-2474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Jarrett White Rd",
            "address_2": "Tripler Army Medical Center",
            "address_purpose": "LOCATION",
            "city": "Tripler Army Medical Center",
            "state": "HI",
            "postal_code": "968595001",
            "country_code": "US",
            "telephone_number": "808-433-2474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9040 Jackson Ave",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984310001",
            "country_code": "US",
            "telephone_number": "253-968-9729",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3401 Civic Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191044319",
            "country_code": "US",
            "telephone_number": "248-207-3287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYER",
        "first_name": "KATHLEEN",
        "middle_name": "MICHELLE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-27",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "OP61072723",
            "primary": true
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "WA",
            "license": "OP61072723",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "MI",
            "license": "5101022176",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "UT",
            "license": "14241252-1204",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "MAMCNetwork",
            "affiliation": "N",
            "address_1": "9040 Jackson Ave",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984310001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kboyer43966@upmc.direct-ci.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC/ Office Ally",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.