Kimberly A McDermott, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

RN60154988 Issued in WA

Practice address

4891 W 27TH Ave
Kennewick, WA 99338-1920

Phone

(509) 222-7503

Fax

(509) 222-7501

NPI assigned

Aug 24, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1336868157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103814 NICOLE DR",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993387595",
            "telephone_number": "208-317-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4891 W 27TH AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993381920",
            "telephone_number": "509-222-7503",
            "fax_number": "509-222-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "WA",
            "license": "RN60154988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda D McCombs
• John McCormick, M.D.
• Martha M McCrory, LICSW
• Carly McDaniel
• Jeffrey J McDannel, DO
• Julie McElroy, DPT, PT
• Jennifer McEwen, LMP
• Melissa Nicole McFarland, PTA
• Larae McGehee, LMP
• Deana Rae McGlothlin, CDP

• School Registered Nurse in Kennewick, WA
• Providers in Kennewick, WA by specialty
• School Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.