Organization Active NPI

Katherine J Hebard

  • Obstetrics Physician
  • Silverdale, WA
National Provider Identifier
1396928305
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
Legal business name
KATHERINE J HEBARD
Practice address
9750 Levin Rd NW
Silverdale, WA 98383-8399
Phone
(360) 307-7202
Fax
(360) 698-6600
NPI assigned
Dec 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Katherine J Hebard, MD
Title
Owner
Phone
(360) 307-7202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VX0000X WA Primary

Addresses

Primary practice location

9750 Levin Rd NW
Silverdale, WA 98383-8399

Mailing address

9750 Levin Rd NW
Silverdale, WA 98383-8399
Phone (360) 307-7202

Other identifiers 1

IdentifierTypeStateIssuer
1122530MedicaidWA

National Provider Directory

National Provider Directory

Locations

1950 Pottery Ave
Port Orchard, WA 98366
Phone (360) 876-6096

NPI Registry JSON

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1396928305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9750 LEVIN RD NW",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838399",
            "telephone_number": "360-307-7202",
            "fax_number": "360-698-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9750 LEVIN RD NW",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838399",
            "telephone_number": "360-307-7202",
            "fax_number": "360-698-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE J HEBARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HEBARD",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-307-7202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1122530",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.