Active NPI
Kathryn Ann Lewis, CNM, FNP,MSN
- Obstetrics & Gynecology Nurse Practitioner
- Montesano, WA
National Provider Identifier
1467673376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- AP30004525
- Practice address
- 101 E Broadway Ave
Montesano, WA 98563-3703 - Phone
- (360) 249-4097
- NPI assigned
- May 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP30004525 | WA | |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | AP30004525 | WA | Primary |
Addresses
Primary practice location
101 E Broadway Ave
Montesano, WA 98563-3703
Mailing address
101 E Broadway Ave
Montesano, WA 98563-3703
Phone (360) 249-4097
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9623349 | Medicaid | WA | |
| 666202 | Medicaid | WA | |
| LEO4466 | Other | VA | RBS |
| 0150588 | Other | L&I | |
| 7900483 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Nurse Midwife, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30004525 | WA | MD | Obstetrics & Gynecology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1467673376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E BROADWAY AVE",
"city": "MONTESANO",
"state": "WA",
"postal_code": "985633703",
"telephone_number": "360-249-4097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E BROADWAY AVE",
"city": "MONTESANO",
"state": "WA",
"postal_code": "985633703",
"telephone_number": "360-249-4097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "KATHRYN",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "CNM, FNP,MSN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP30004525",
"primary": false
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "WA",
"license": "AP30004525",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9623349",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "666202",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RBS",
"identifier": "LEO4466",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "0150588",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7900483",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Montesano, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.