Active NPI
Kathleen Michelle Boyer, D.O.
- Diagnostic Radiology Physician
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- OP61072723
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101022176 | MI | MD | Pediatric Radiology Physician |
| 14241252-1204 | UT | MD | Pediatric Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tra Medical Imaging Centers LLC | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | Current | Accepting new patients | |
| Tellica Imaging, LLC | Current | Accepting new patients | |
| Tra-Minw P S | Current | Accepting new patients | |
| Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | Current | Accepting new patients | |
| Tellica Imaging, LLC | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Pediatric Radiology | Current | Accepting new patients |
| Tellica Imaging, LLC | Current | Accepting new patients | |
| Union Avenue Open MRI LLC | Current | 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
- kboyer43966@upmc.direct-ci.com
- 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.
-
- Radiology Clinic/Center
- Tacoma, WA
- NPI 1083802946
-
- Radiology Clinic/Center
- Tacoma, WA
- NPI 1447041751
-
- Radiology Clinic/Center
- Tacoma, WA
- NPI 1396814166
-
- Radiology Clinic/Center
- Tacoma, WA
- NPI 1568531242
-
- Gastroenterology Physician
- Pittsburgh, PA
- NPI 1619935004
-
- Radiology Clinic/Center
- Puyallup, WA
- NPI 1336419514
-
- Physiological Laboratory
- Ogden, UT
- NPI 1144802802
-
- Physiological Laboratory
- West Valley City, UT
- NPI 1407438039
-
- Physiological Laboratory
- Salt Lake City, UT
- NPI 1649998709
-
- Diagnostic Radiology Physician
- Pittsburgh, PA
- NPI 1285692699
Pediatric Radiology
-
- Radiology Clinic/Center
- Federal Way, WA
- NPI 1184790032
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.