Individual provider Active NPI

Katherine June Hall, PA-C

  • Physician Assistant
  • Kirkland, WA
National Provider Identifier
1265965511
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60757778 Issued in WA
Practice address
12039 NE 128TH St Ste 400
Kirkland, WA 98034-3030
Phone
(425) 899-6060
NPI assigned
Apr 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA60757778 WA Primary

Addresses

Primary practice location

12039 NE 128TH St Ste 400
Kirkland, WA 98034-3030

Mailing address

12039 NE 128TH Street
Ste 400
Kirkland, WA 98034-7737
Phone (425) 899-6060

Other practice location 1

611 12th Ave S
Seattle, WA 98144-1910
Phone (206) 324-9360

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
I20170801000924 WA Practitioner - Physician Assistant 4385915925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12040 NE 128TH St
Ms 10
Kirkland, WA 98034-3013

12040 NE St
Ms 50
Kirkland, WA 98034-3013

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.73 of 100Reported as apm
Quality
73.46
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA60757778WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
King County Public Hospital District No 2 Current Accepting new patients
Seattle Indian Health Board CurrentSince Jul 15, 2017 Accepting new patients
Seattle Indian Health Board CurrentSince Jul 15, 2017 Accepting new patients
King County Public Hospital District No 2 Past Accepting new patients
King County Public Hospital District No. 2 Past Accepting new patients

Locations

1909 214th St SE
Ste 110
Bothell, WA 98021
Phone (425) 488-4988

12039 NE 128th St
Ste 300
Kirkland, WA 98034
Phone (425) 899-3123

12039 NE 128th St
Ste 400
Kirkland, WA 98034
Phone (425) 899-4810

12040 NE 128th St
#10
Kirkland, WA 98034
Phone (206) 466-0369

14841 179th Ave SE
Ste 330
Monroe, WA 98272
Phone (360) 794-3300

611 12th Ave S
Seattle, WA 98144
Phone (206) 324-9360

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1265965511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12039 NE 128TH STREET",
            "address_2": "STE 400",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980347737",
            "telephone_number": "425-899-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12039 NE 128TH ST STE 400",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343030",
            "telephone_number": "425-899-6060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 12th Ave S",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981441910",
            "country_code": "US",
            "telephone_number": "206-324-9360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "KATHERINE",
        "middle_name": "JUNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60757778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

Verify at the official NPI Registry.