Individual provider Active NPI

Katherine Bruya Reed, M.D.

  • Dermatology Physician
  • Spokane, WA
National Provider Identifier
1396919569
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD 60071865 Issued in WA
Practice address
510 S Cowley St Ste 200
Spokane, WA 99202-1332
Phone
(509) 456-8444
Fax
(509) 455-9227
NPI assigned
Apr 17, 2008
Last updated
Jan 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD 60071865 WA Primary

Addresses

Primary practice location

510 S Cowley St Ste 200
Spokane, WA 99202-1332

Mailing address

510 S Cowley St Ste 200
Spokane, WA 99202-1332
Phone (509) 456-8444

Other practice location 1

820 S McClellan St
Suite 426
Spokane, WA 99204-2457
Phone (509) 456-8444

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090918000508 WA Practitioner - Dermatology 8729134598 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Washington School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Specialists of SpokaneGroup PAC ID 2567540503, 9 clinicians

Practice addresses (Care Compare)

510 S Cowley St
Suite 200
Spokane, WA 99202-1332
Phone (509) 456-8444

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision33
Removal of tissue40
Removal of skin lesions944
Removal or shaving of skin growth1-10
Skin biopsy216

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD 60071865WAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Specialists of Spokane Dermatology CurrentSince Sep 1, 2009 Accepting new patients
Inland Empire Hospital Services Association Past Accepting new patients
Stephen William Doggett, M.D. PA Past Accepting new patients

Locations

510 S Cowley St
Ste 200
Spokane, WA 99202
Phone (509) 252-9191

820 S McClellan St
Ste 426
Spokane, WA 99204
Phone (509) 456-8444

Interoperability endpoints

  • Direct secure messaging: abouthong@dermsos.emadirect.md
  • Direct secure messaging: bgroh@dermsos.emadirect.md

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1396919569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 S COWLEY ST STE 200",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021332",
            "telephone_number": "509-456-8444",
            "fax_number": "509-455-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S COWLEY ST STE 200",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021332",
            "telephone_number": "509-456-8444",
            "fax_number": "509-455-9227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 S McClellan St",
            "address_2": "Suite 426",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992042457",
            "country_code": "US",
            "telephone_number": "509-456-8444",
            "fax_number": "509-455-9227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REED",
        "first_name": "KATHERINE",
        "middle_name": "BRUYA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-17",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD 60071865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.