Katherine Accardo Impastato, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

60660093 Issued in WA

Practice address

13317 NE 12TH Ave Ste 107
Vancouver, WA 98685-2731

Phone

(360) 350-4794

Fax

(360) 589-5491

NPI assigned

Apr 7, 2014

Last updated

Aug 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kimpastato23545@reboundmd.gardenplot.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Salmon Creek Plastic Surgery PC

  • Plastic Surgery Physician
  • Vancouver, WA
  • NPI 1831253426

  Single Specialty

  Medicare reassignment NPD
• Salmon Creek Plastic Surgery PC

  • Ambulatory Surgical Clinic/Center
  • Vancouver, WA
  • NPI 1588802466

  Plastic and Reconstructive Surgery

  NPD
• University Physicians & Surgeons, Inc

  • Internal Medicine Physician
  • Huntington, WV
  • NPI 1730183286

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1376962316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13317 NE 12TH AVE STE 107",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986852731",
            "telephone_number": "360-350-4794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13317 NE 12TH AVE STE 107",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986852731",
            "telephone_number": "360-350-4794",
            "fax_number": "360-589-5491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 9th Avenue",
            "address_2": "Mailing Suite 359796",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "98104",
            "country_code": "US",
            "telephone_number": "206-744-2868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IMPASTATO",
        "first_name": "KATHERINE",
        "middle_name": "ACCARDO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-07",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "WA",
            "license": "60660093",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "WV",
            "license": "29791",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "WA",
            "license": "60660093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Kate Imhof
• Hannah O Imohi
• Kelsey White Imondi, DPT, PT
• Impact Physician Group, Washington LLC
• David Impastato, MD
• In It Together RN LLC
• In Light for Life
• Madison Inama
• Riki Larae Ince, LPN
• Inez Kathleen Ray-Annis, MSW, P.S., Inc. (Annis Counseling & Evaluation Services)

• Plastic and Reconstructive Surgery Physician in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Plastic and Reconstructive Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.