Individual provider Active NPI

Kent R Hill, MD

  • Child & Adolescent Psychiatry Physician
  • Tacoma, WA
National Provider Identifier
1316915994
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD00030685 Issued in WA
Practice address
9040 Jackson Ave Mamc-Cafbhs Madigan Annex 9923a
Tacoma, WA 98431-7213
Phone
(253) 968-4843
Fax
(253) 968-6888
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD00030685 WA
Child & Adolescent Psychiatry Physician 2084P0804X MD00030685 WA Primary

Addresses

Primary practice location

9040 Jackson Ave Mamc-Cafbhs Madigan Annex 9923a
Tacoma, WA 98431-7213

Mailing address

PO Box 835
Fox Island, WA 98333-0835
Phone (253) 301-9904

Other practice location 1

9601 Steilacoom Blvd SW
Pals-W1
Tacoma, WA 98498-7213
Phone (253) 582-8900

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00030685WAMDChild & Adolescent Psychiatry Physician
19362ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Department of Social Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1316915994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 835",
            "city": "FOX ISLAND",
            "state": "WA",
            "postal_code": "983330835",
            "telephone_number": "253-301-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 JACKSON AVE MAMC-CAFBHS MADIGAN ANNEX 9923A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984317213",
            "telephone_number": "253-968-4843",
            "fax_number": "253-968-6888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9601 Steilacoom Blvd SW",
            "address_2": "PALS-W1",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984987213",
            "country_code": "US",
            "telephone_number": "253-582-8900",
            "fax_number": "253-756-3974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILL",
        "first_name": "KENT",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD00030685",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "WA",
            "license": "MD00030685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.