Katie Kern Pmhnp

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

KATIE KERN PMHNP

Practice address

707 S Grady Way Ste 600
Renton, WA 98057-3227

Phone

(206) 338-5303

NPI assigned

Oct 22, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Katie Rose Kern, ARNPNPI 1023269768

Title

President

Phone

(206) 338-5303

Specialties & licenses 1

Addresses

Other names 1

• Restore Integrative Psychiatry Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katie Kern, A.R.N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Renton, WA
  • NPI 1023269768
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571702400000",
    "number": "1346883378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 S GRADY WAY STE 600",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980573227",
            "telephone_number": "206-338-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 S GRADY WAY STE 600",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980573227",
            "telephone_number": "206-338-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATIE KERN PMHNP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-22",
        "last_updated": "2019-10-22",
        "status": "A",
        "authorized_official_last_name": "KERN",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-338-5303",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restore Integrative Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Suzanne Kasik
• Svitlahna Kasko, ARNP
• Amare Melak Kassahun, NP
• Kelly Kassir
• Jordan Taylor Kasube, DPT
• Katie L Esler LMHC NCC LLC
• Jalak Katira
• Gary H Kato, MD
• Jennifer Susan Katz, PT
• Karl H Kaufmann, MD

• Psychiatry Physician in Renton, WA
• Providers in Renton, WA by specialty
• Psychiatry Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.