Active NPI
Kimberly Pulliam, RN
- Psychiatric/Mental Health Registered Nurse
- Kent, WA
National Provider Identifier
1356212104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- RN.RN.60096679
- Practice address
- 505 Washington Ave S
Kent, WA 98032-5709 - Phone
- (253) 833-7444
- NPI assigned
- Sep 15, 2025
- Last updated
- Aug 14, 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN.RN.60096679 | WA | Primary |
Addresses
Primary practice location
505 Washington Ave S
Kent, WA 98032-5709
Mailing address
325 W Gowe St
Kent, WA 98032-5892
Phone (253) 833-7444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2354588 | Medicaid | WA |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN60096679 | WA | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786665600000",
"number": "1356212104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 W GOWE ST",
"city": "KENT",
"state": "WA",
"postal_code": "980325892",
"telephone_number": "253-833-7444",
"fax_number": "253-661-8631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 WASHINGTON AVE S",
"city": "KENT",
"state": "WA",
"postal_code": "980325709",
"telephone_number": "253-833-7444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULLIAM",
"first_name": "KIMBERLY",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-15",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "WA",
"license": "RN.RN.60096679",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2354588",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kent, WA
- Raychel Puga Reynoso
- Puget Sound Drug Corporation (Key Pharmacy and Home Healthcare)
- Puget Sound Health and Rehab LLC (OnPoint Physical Therapy)
- Puget Sound Regional Fire Authority
- Chandra Delaine Pugh
- Pure Elegance RX LLC (Pure Elegance RX)
- Pure Escape Spa
- Ravneet Kaur Purewal, DNP
- Volodymyr Pyatokha, CDP
- Allan P Pyka
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.