Individual provider Active NPI

Kimberly J McDermott, MD

  • Pediatrics Physician
  • Renton, WA
National Provider Identifier
1437159209
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD00031795 Issued in WA
Practice address
16200 116TH Ave SE
Renton, WA 98058-5200
Phone
(425) 400-1899
Fax
(425) 663-8000
NPI assigned
Jul 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00031795 WA
Pediatrics Physician 208000000X MD00031795 WA Primary

Addresses

Primary practice location

16200 116TH Ave SE
Renton, WA 98058-5200

Mailing address

955 Powell Ave SW
Renton, WA 98057-2908
Phone (425) 277-1311

Other practice location 1

4800 Sand Point Way
Seattle, WA 98105
Phone (425) 987-2000

Other identifiers 1

IdentifierTypeStateIssuer
1437159209MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kmcdermott20074@healthpoint.direct-ci.com

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
I20071011000413 WA Practitioner - Pediatric MedicinePractitioner - Family Practice 1658467311 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00031795WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborcare Health CurrentSince Jan 1, 2000 Accepting new patients
The Association of Chrmc and University Physicians Pediatrics CurrentSince Aug 8, 2015 Accepting new patients
Healthpoint CurrentSince Apr 1, 2023 Accepting new patients
Neighborcare Health Current Accepting new patients
Healthpoint Family Medicine Current Accepting new patients
Neighborcare Health CurrentSince Jan 1, 2000 Accepting new patients
Association of CHMC and University Physicians Pediatrics CurrentSince Aug 8, 2015 Accepting new patients
Healthpoint Family Medicine Past Accepting new patients

Locations

126 Auburn Ave
Ste 300
Auburn, WA 98002
Phone (253) 735-0166

10414 Beardslee Blvd
Ste 100
Bothell, WA 98011
Phone (425) 486-0658

900 Pacific Ave
Ste 100
Everett, WA 98201
Phone (425) 304-6080

33431 13th Pl S
Federal Way, WA 98003
Phone (253) 874-7634

403 E Meeker St
Ste 200
Kent, WA 98030
Phone (253) 852-2866

16255 NE 87th St
Ste 150
Redmond, WA 98052
Phone (425) 882-1697

400 S 2nd St
Renton, WA 98057
Phone (425) 204-3400

955 Powell Ave SW
Renton, WA 98057
Phone (253) 735-0166

200 S 2nd St
Renton, WA 98057
Phone (425) 226-5536

1629 N 45th St
Seattle, WA 98103
Phone (206) 633-3350

9245 Rainier Ave S
Seattle, WA 98118
Phone (206) 461-6981

4400 37th Ave S
Seattle, WA 98118
Phone (206) 296-4650

6020 35th Ave SW
Seattle, WA 98126
Phone (206) 461-6950

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000

12721 30th Ave NE
Ste 101
Seattle, WA 98125
Phone (206) 417-0326

Interoperability endpoints

  • Direct secure messaging: kmcdermott289991@direct.ochin.org
  • Direct secure messaging: kmcdermott20074@healthpoint.direct-ci.com
  • Direct secure messaging: kimberly.mcdermott.p3@direct.hpc.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1437159209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 POWELL AVE SW",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572908",
            "telephone_number": "425-277-1311",
            "fax_number": "425-277-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16200 116TH AVE SE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980585200",
            "telephone_number": "425-400-1899",
            "fax_number": "425-663-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4800 Sand Point Way",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "98105",
            "country_code": "US",
            "telephone_number": "425-987-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "KIMBERLY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-22",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00031795",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD00031795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437159209",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmcdermott20074@healthpoint.direct-ci.com",
            "affiliation": "N",
            "address_1": "16200 116th Ave SE",
            "city": "Renton",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980585200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

Verify at the official NPI Registry.