Individual provider Active NPI

Kathleen Lynch

  • Advanced Practice Midwife
  • Kirkland, WA
National Provider Identifier
1427481365
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AP61609421 Issued in WA
Practice address
12303 NE 130TH LN Ste 225
Kirkland, WA 98034-3060
Phone
(425) 899-4012
NPI assigned
Aug 14, 2013
Reactivated
Sep 26, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X AP61609421 WA Primary

Addresses

Primary practice location

12303 NE 130TH LN Ste 225
Kirkland, WA 98034-3060

Mailing address

12303 NE 130TH LN Ste 225
Kirkland, WA 98034-3060
Phone (425) 899-4012

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241114001319 WA Practitioner - Certified Nurse Midwife (CNM) 2860926706 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
AP61609421WAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
King County Public Hospital District No. 2 CurrentSince Nov 1, 2024 Accepting new patients
King County Public Hospital District No 2 CurrentSince Nov 1, 2024 Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
King County Public Hospital District No. 2 Past Accepting new patients

Locations

1909 214th St SE
Ste 110
Bothell, WA 98021
Phone (425) 488-4988

12303 NE 130th Ln
Ste 225
Kirkland, WA 98034
Phone (425) 899-3890

12040 NE 128th St
#50
Kirkland, WA 98034
Phone (425) 899-1894

14841 179th Ave SE
Ste 310
Monroe, WA 98272
Phone (360) 794-1444

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": "1376438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1427481365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12303 NE 130TH LN STE 225",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343060",
            "telephone_number": "425-899-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12303 NE 130TH LN STE 225",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343060",
            "telephone_number": "425-899-4012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "KATHLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-14",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "deactivation_date": "2024-09-12",
        "reactivation_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WA",
            "license": "AP61609421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

Verify at the official NPI Registry.