Individual provider Active NPI

Kimberly J Thomas, ARNP

  • Family Nurse Practitioner
  • Tacoma, WA
National Provider Identifier
1407211683
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP 60592393 Issued in WA
Practice address
6002 Westgate Blvd Ste 230
Tacoma, WA 98406-2572
Phone
(253) 272-8664
Fax
(253) 779-8364
NPI assigned
Dec 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP605923393 WA
Family Nurse Practitioner 363LF0000X AP 60592393 WA Primary

Addresses

Primary practice location

6002 Westgate Blvd Ste 230
Tacoma, WA 98406-2572

Mailing address

6002 Westgate Blvd Ste 230
Tacoma, WA 98406-2572
Phone (253) 272-8664

Other identifiers 1

IdentifierTypeStateIssuer
2054505MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kthomas777886@fhsce.catholichealth.net Direct Franciscan Medical Group

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160323001556 WA Practitioner - Nurse Practitioner 7315244092 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

6002 Westgate Blvd
Suite 230
Tacoma, WA 98406-2572
Phone (253) 761-2244

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Physician Assistant

State licenses

LicenseStateTypeSpecialty
AP605923393WAMDNurse Practitioner
AP 60592393WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Puget Sound Gastroenterology, PLLC CurrentSince Jan 1, 2023 Accepting new patients
Puget Sound Gastroenterology, PLLC Current Accepting new patients
Puget Sound Gastroenterology, PLLC CurrentSince Jan 1, 2023 Accepting new patients
Franciscan Medical Group CurrentSince Feb 20, 2023 Accepting new patients
Franciscan Medical Group Current Accepting new patients
Gastroenterology Associates Clinical Practice, PLLC Nurse Practitioner CurrentSince Oct 1, 2019 Accepting new patients
Franciscan Medical Group Past Accepting new patients
Lake Washington Anesthesia PLLC Past Accepting new patients

Locations

11800 NE 128th St
Ste 100
Kirkland, WA 98034
Phone (425) 899-4500

209 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8250

500 Lilly Rd NE
Ste 204
Olympia, WA 98506
Phone (360) 413-8191

6002 Westgate Blvd
Ste 230
Tacoma, WA 98406
Phone (253) 761-2244

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

Organizations & group practices 8

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1407211683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6002 WESTGATE BLVD STE 230",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062572",
            "telephone_number": "253-272-8664",
            "fax_number": "253-779-8364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6002 WESTGATE BLVD STE 230",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062572",
            "telephone_number": "253-272-8664",
            "fax_number": "253-779-8364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KIMBERLY",
        "middle_name": "J",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-15",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP605923393",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP 60592393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2054505",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kthomas777886@fhsce.catholichealth.net",
            "affiliation": "Y",
            "affiliationName": "Franciscan Medical Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6002 Westgate Blvd Ste 230",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984062572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.