Active NPI
Katie Ellen Winans, PAC
- Physician Assistant
- Vancouver, WA
National Provider Identifier
1467544320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA60217469
- Practice address
- 4421 NE St Johns Rd
Suite F
Vancouver, WA 98661-2573 - Phone
- (360) 695-9922
- Fax
- (360) 695-1310
- NPI assigned
- Sep 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA01113 | OR | |
| Physician Assistant | 363A00000X | PA60217469 | WA | Primary |
Addresses
Primary practice location
4421 NE St Johns Rd
Suite F
Vancouver, WA 98661-2573
Mailing address
4421 NE St Johns Rd
Suite F
Vancouver, WA 98661-2573
Phone (360) 695-9922
Other practice location 1
505 S 336th St Ste 500
Federal Way, WA 98003-8300
Phone (206) 962-3535
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA60217469 | Other | WA | LICENSE |
| 1070416 | Other | NCCPA NATIONAL | |
| PA01113 | Other | OR | OREGON MED BOARD |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19220 Alderwood Mall Pkwy
Suite 145
Lynnwood, WA 98036-4819
Phone (864) 664-3984
2510 Columbia House Blvd
Suite 107
Vancouver, WA 98661-7763
Phone (864) 664-3984
902 SE 164TH Ave
Suite 400
Vancouver, WA 98683-9627
Phone (864) 664-3984
910 NE Tenney Rd
Suite 101
Vancouver, WA 98685-2838
Phone (864) 664-3984
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA60217469 | WA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Landmark Medical of Washington PC | Past | Accepting new patients | |
| Zoomcare Urgent Care LLC | Past | Accepting new patients |
Interoperability endpoints
- katie.winans.1@30646.direct.athenahealth.com
Organizations & group practices 3
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.
-
- General Practice Physician
- Seattle, WA
- NPI 1013309509
-
- Urgent Care Clinic/Center
- Lake Oswego, OR
- NPI 1376225813
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1700809829
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1134178999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1467544320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4421 NE ST JOHNS RD",
"address_2": "SUITE F",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986612573",
"telephone_number": "360-695-9922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4421 NE ST JOHNS RD",
"address_2": "SUITE F",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986612573",
"telephone_number": "360-695-9922",
"fax_number": "360-695-1310"
}
],
"practiceLocations": [
{
"address_1": "505 S 336th St Ste 500",
"address_purpose": "LOCATION",
"city": "Federal Way",
"state": "WA",
"postal_code": "980038300",
"country_code": "US",
"telephone_number": "206-962-3535",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WINANS",
"first_name": "KATIE",
"middle_name": "ELLEN",
"name_prefix": "Ms.",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-29",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA01113",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA60217469",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "PA60217469",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCCPA NATIONAL",
"identifier": "1070416",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON MED BOARD",
"identifier": "PA01113",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.