Active NPI
Kelly Lynn Kingston, ARNP FNP- BC
- Nurse Practitioner
- Tacoma, WA
National Provider Identifier
1487497632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP61561955
- Practice address
- 2505 S 38TH St Ste 109
Tacoma, WA 98409-7372 - Phone
- (253) 319-2022
- NPI assigned
- Jun 17, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP61561955 | WA | Primary |
Addresses
Primary practice location
2505 S 38TH St Ste 109
Tacoma, WA 98409-7372
Mailing address
2402 29TH Street PL SE
Puyallup, WA 98374-4019
Phone (253) 219-0407
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP61561955 | WA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718582400000",
"number": "1487497632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2402 29TH STREET PL SE",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983744019",
"telephone_number": "253-219-0407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2505 S 38TH ST STE 109",
"city": "TACOMA",
"state": "WA",
"postal_code": "984097372",
"telephone_number": "253-319-2022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINGSTON",
"first_name": "KELLY",
"middle_name": "LYNN",
"credential": "ARNP FNP- BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-17",
"last_updated": "2024-06-17",
"certification_date": "2024-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP61561955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.