Individual provider Active NPI

Kimberly A Mebust, MD

  • Sleep Specialist (PhD)
  • Tacoma, WA
National Provider Identifier
1447258496
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Specialist (PhD)Taxonomy code 173F00000X
License
MD00033517 Issued in WA
Practice address
915 6TH Ave
Suite 200
Tacoma, WA 98405-4682
Phone
(253) 403-7299
Fax
(253) 403-7298
NPI assigned
Jul 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 25778 WA
Sleep Specialist (PhD) 173F00000X MD00033517 WA Primary

Addresses

Primary practice location

915 6TH Ave
Suite 200
Tacoma, WA 98405-4682

Mailing address

915 6TH Ave
Suite 200
Tacoma, WA 98405-4682
Phone (253) 403-7299

Other identifiers 1

IdentifierTypeStateIssuer
8193377MedicaidWA

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
I20040607001266 WA Practitioner - NeurologyPractitioner - Sleep Medicine 8426945999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Sleep Medicine
Education
University of Connecticut School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

311 S L St
Tacoma, WA 98405-3720

402 15TH Ave SE
Suite 100
Puyallup, WA 98372-3709
Phone (253) 403-3131

407 14TH Ave SE
Puyallup, WA 98372-3770
Phone (253) 697-1962

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

Hospital & facility affiliations

  • Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129
  • Multicare Good Samaritan Hospital Hospital, Puyallup, WA, CCN 500079
  • Multicare Auburn Medical Center Hospital, Auburn, WA, CCN 500015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25778WAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Current Accepting new patients
Multicare Health System CurrentSince Jun 20, 2011 Accepting new patients
Multicare Health System CurrentSince Jun 20, 2011 Accepting new patients
Neurology & Neurosurgery Associates of Tacoma PLLC Neurology Past Accepting new patients
Good Samaritan Community Healthcare Past Accepting new patients
Multicare Health System Past Accepting new patients

Locations

121 N Division St
Ste 340
Auburn, WA 98001
Phone (253) 249-7834

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

915 6th Ave
Ste 200
Tacoma, WA 98405
Phone (253) 403-7277

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

915 6th Ave
Ste 100
Tacoma, WA 98405
Phone (253) 403-7277

Interoperability endpoints

  • Direct secure messaging: kmebustmd2211@direct.multicare.org

Organizations & group practices 6

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1447258496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 6TH AVE",
            "address_2": "SUITE 200",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054682",
            "telephone_number": "253-403-7299",
            "fax_number": "253-403-7298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 6TH AVE",
            "address_2": "SUITE 200",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054682",
            "telephone_number": "253-403-7299",
            "fax_number": "253-403-7298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEBUST",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "25778",
            "primary": false
        },
        {
            "code": "173F00000X",
            "taxonomy_group": "",
            "desc": "Sleep Specialist, PhD",
            "state": "WA",
            "license": "MD00033517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8193377",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.