Individual provider Active NPI

Kari Dawn Robertson, PA-C

  • Medical Physician Assistant
  • Kennewick, WA
National Provider Identifier
1316174063
Registry record updated Jan 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA60473231 Issued in WA
Practice address
6802 W Rio Grande Ave Ste 1
Kennewick, WA 99336-7684
Phone
(509) 572-2201
Fax
(509) 783-8844
NPI assigned
Jun 19, 2009
Last updated
Jan 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA60473231 WA Primary

Addresses

Primary practice location

6802 W Rio Grande Ave Ste 1
Kennewick, WA 99336-7684

Mailing address

6802 W Rio Grande Ave Ste 1
Kennewick, WA 99336-7684
Phone (509) 572-2201

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
I20170508001945 WA Practitioner - Physician Assistant 9830384049 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seattle Childrens HospitalGroup PAC ID 9032021050, 113 clinicians

Practice addresses (Care Compare)

1035 116TH Ave NE
Bellevue, WA 98004-4604
Phone (425) 688-5000

1500 116TH Ave NE
Bellevue, WA 98004-3829
Phone (425) 454-4644

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seattle Childrens Hospital CurrentSince Apr 24, 2017 Accepting new patients
The Association of Chrmc and University Physicians CurrentSince Feb 15, 2022 Accepting new patients
Seattle Children's Hospital CurrentSince Apr 24, 2017 Accepting new patients
Seattle Children's Hospital Past Accepting new patients
Pediatrics for You, PLLC PastSince Oct 19, 2020 Accepting new patients

Locations

1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141

900 Pacific Ave
Ste 100
Everett, WA 98201
Phone (425) 304-6080

8232 W Grandridge Blvd
Kennewick, WA 99336
Phone (509) 582-1700

4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000

1780 NW Myhre Rd
Ste 2120
Silverdale, WA 98383
Phone (360) 782-3100

Interoperability endpoints

  • Direct secure messaging: krobertson30245@direct.seattlechildrens.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454025600000",
    "number": "1316174063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6802 W RIO GRANDE AVE STE 1",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367684",
            "telephone_number": "509-572-2201",
            "fax_number": "509-783-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6802 W RIO GRANDE AVE STE 1",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367684",
            "telephone_number": "509-572-2201",
            "fax_number": "509-783-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "KARI",
        "middle_name": "DAWN",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-19",
        "last_updated": "2016-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA60473231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

Verify at the official NPI Registry.