Active NPI
Kimberly Marie Lux
- Student in an Organized Health Care Education/Training Program
- Puyallup, WA
National Provider Identifier
1316891872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- CG.61429118
- Practice address
- 325 E Pioneer Way E
Puyallup, WA 98372-3265 - Phone
- (253) 697-8400
- NPI assigned
- Feb 23, 2026
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | CG.61429118 | WA | Primary |
Addresses
Primary practice location
325 E Pioneer Way E
Puyallup, WA 98372-3265
Mailing address
22435 SE 240TH St Apt H304
Maple Valley, WA 98038-6071
Phone (425) 340-1557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CG.61429118 | WA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771804800000",
"number": "1316891872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22435 SE 240TH ST APT H304",
"city": "MAPLE VALLEY",
"state": "WA",
"postal_code": "980386071",
"telephone_number": "425-340-1557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 E PIONEER WAY E",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983723265",
"telephone_number": "253-697-8400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUX",
"first_name": "KIMBERLY",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-23",
"last_updated": "2026-02-23",
"certification_date": "2026-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "WA",
"license": "CG.61429118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.