Active NPI
Kendra Raquel Fitzpatrick, DNP, ARNP, FNP-BC
- Primary Care Nurse Practitioner
- Renton, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- AP60966086
- Practice address
- 3915 Talbot Rd S
Renton, WA 98055-5738 - Phone
- (425) 690-3400
- NPI assigned
- May 20, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | AP60966086 | WA | Primary |
Addresses
Primary practice location
3915 Talbot Rd S
Renton, WA 98055-5738
Mailing address
714 1St St S Unit a
Kirkland, WA 98033-6561
Phone (425) 647-8017
Other practice location 1
4033 Talbot Rd S
Renton, WA 98055-5772
Phone (425) 690-3489
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Medical Group-Renton | Current | Accepting new patients | |
| Christine M James ND PLLC | Past | Accepting new patients | |
| Public Hospital District #1 of King County | Past | Accepting new patients |
Locations
16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971
3600 Lind Ave SW
Ste 100
Renton, WA 98057
3915 Talbot Rd S
Renton, WA 98055
Phone (425) 630-3400
3915 Talbot Rd S
Ste 100
Renton, WA 98055
Phone (425) 656-5345
4033 Talbot Rd S
Renton, WA 98055
Phone (425) 690-3489
Interoperability endpoints
- kendra.fitzpatrick.1@14407.direct.athenahealth.com
- kendra.fitzpatrick@70976835354628.direct.elationemr.com
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Renton, WA
- NPI 1619209574
-
- Medical Specialty Clinic/Center
- Kirkland, WA
- NPI 1437604428
-
- Rehabilitation Hospital Unit
- Renton, WA
- NPI 1811063308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558310400000",
"number": "1265098891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "714 1ST ST S UNIT A",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980336561",
"telephone_number": "425-647-8017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3915 TALBOT RD S",
"city": "RENTON",
"state": "WA",
"postal_code": "980555738",
"telephone_number": "425-690-3400"
}
],
"practiceLocations": [
{
"address_1": "4033 Talbot Rd S",
"address_purpose": "LOCATION",
"city": "Renton",
"state": "WA",
"postal_code": "980555772",
"country_code": "US",
"telephone_number": "425-690-3489",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FITZPATRICK",
"first_name": "KENDRA",
"middle_name": "RAQUEL",
"name_prefix": "Dr.",
"credential": "DNP, ARNP, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-20",
"last_updated": "2019-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "WA",
"license": "AP60966086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; 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.