Individual provider Active NPI

Katie Lynn Parkins, APRN

  • Family Nurse Practitioner
  • Chewelah, WA
National Provider Identifier
1407565716
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61377905 Issued in WA
Practice address
509 E Main Ave
Chewelah, WA 99109-8964
Phone
(509) 935-6001
NPI assigned
Nov 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP61377905 WA Primary

Addresses

Primary practice location

509 E Main Ave
Chewelah, WA 99109-8964

Mailing address

1207 N Augusta LN
Deer Park, WA 99006-3400
Phone (509) 290-9512

Other names 1

  • Katie Lynn Baran Former name

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
I20221215000944 WA Practitioner - Nurse Practitioner 5193194041 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP61377905WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Health Programs Association CurrentSince Jan 3, 2023 Accepting new patients
New Health Programs Association CurrentSince Jan 3, 2023 Accepting new patients

Locations

518 E Clay Ave
Chewelah, WA 99109
Phone (509) 935-6004

509 E Main Ave
Chewelah, WA 99109
Phone (509) 935-6001

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1407565716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 N AUGUSTA LN",
            "city": "DEER PARK",
            "state": "WA",
            "postal_code": "990063400",
            "telephone_number": "509-290-9512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 E MAIN AVE",
            "city": "CHEWELAH",
            "state": "WA",
            "postal_code": "991098964",
            "telephone_number": "509-935-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKINS",
        "first_name": "KATIE",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-16",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61377905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "BARAN",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chewelah, WA

Sources for this page

Verify at the official NPI Registry.