Individual provider Active NPI

Karime Nazareth Bolivar

  • Family Medicine Physician
  • South Bend, WA
National Provider Identifier
1427750595
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.MD.70137317 Issued in WA
Practice address
800 Alder St
South Bend, WA 98586-4900
Phone
(360) 875-5526
NPI assigned
Mar 21, 2023
Last updated
Aug 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD.MD.70137317 WA Primary

Addresses

Primary practice location

800 Alder St
South Bend, WA 98586-4900

Mailing address

800 Alder St
South Bend, WA 98586-4900
Phone (360) 875-5526

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
I20230503001878 WA Order and Referring Only - Family PracticePractitioner - Family Practice 7911362553

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: kbolivar1589620@direct.ehre.uwmedicine.org

NPI Registry JSON

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1427750595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ALDER ST",
            "city": "SOUTH BEND",
            "state": "WA",
            "postal_code": "985864900",
            "telephone_number": "360-875-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ALDER ST",
            "city": "SOUTH BEND",
            "state": "WA",
            "postal_code": "985864900",
            "telephone_number": "360-875-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLIVAR",
        "first_name": "KARIME",
        "middle_name": "NAZARETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-21",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD.MD.70137317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, WA

Sources for this page

Verify at the official NPI Registry.