Active NPI
Kathleen Warner Malnor, CNM, ARNP
- Women's Health Nurse Practitioner
- Bellingham, WA
National Provider Identifier
1275615585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- AP30004144
- Practice address
- 1907 Broadway St
Bellingham, WA 98225-3237 - Phone
- (360) 746-9585
- NPI assigned
- Oct 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | AP30004144 | WA | Primary |
| Ambulatory Women's Health Care Registered Nurse | 163WW0101X | RN00105173 | WA | |
| Advanced Practice Midwife | 367A00000X | AP30004144 | WA |
Addresses
Primary practice location
1907 Broadway St
Bellingham, WA 98225-3237
Mailing address
PO Box 1213
Bellingham, WA 98227-1213
Phone (360) 676-2762
Other practice location 1
4455 Cordata Pkwy
Bellingham, WA 98226-8037
Phone (360) 671-3225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9619305 | Medicaid | WA |
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Texas Tech University Health Science Center School of Medicine, 1997
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
31405 18TH Ave S
Federal Way, WA 98003-5433
PO Box
Seattle, WA 98124
PO Box
Suite 34703
Seattle, WA 98124-1703
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN00105173 | WA | MD | Ambulatory Women's Health Care Registered Nurse |
| AP30004144 | WA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sea-Mar Community Health Center | Past | Accepting new patients | |
| Bellingham Women'S Health, PLLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/9617/brand/1/csg/1/fhir/r4
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.
-
- Federally Qualified Health Center (FQHC)
- Aberdeen, WA
- NPI 1811051170
-
- Primary Care Clinic/Center
- Bellingham, WA
- NPI 1710219712
-
- Family Medicine Physician
- Seattle, WA
- NPI 1942358817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773705600000",
"number": "1275615585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1213",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982271213",
"telephone_number": "360-676-2762",
"fax_number": "360-767-2762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1907 BROADWAY ST",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982253237",
"telephone_number": "360-746-9585"
}
],
"practiceLocations": [
{
"address_1": "4455 Cordata Pkwy",
"address_purpose": "LOCATION",
"city": "Bellingham",
"state": "WA",
"postal_code": "982268037",
"country_code": "US",
"telephone_number": "360-671-3225",
"fax_number": "360-671-0000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALNOR",
"first_name": "KATHLEEN",
"middle_name": "WARNER",
"credential": "CNM, ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2026-03-17",
"certification_date": "2026-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "WA",
"license": "AP30004144",
"primary": true
},
{
"code": "163WW0101X",
"taxonomy_group": "",
"desc": "Registered Nurse, Women's Health Care, Ambulatory",
"state": "WA",
"license": "RN00105173",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "WA",
"license": "AP30004144",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9619305",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.