Kaitlin Amicone

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

60963712 Issued in WA

Practice address

34716 1St Ave S
Federal Way, WA 98003-6760

Phone

(253) 517-7058

NPI assigned

Aug 19, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, CA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kaitlin.amicone@398008301912068.direct.elationemr.com
• Direct secure messaging: kaitlin.amicone.2@29786.direct.athenahealth.com
• Direct secure messaging: kaitlin.amicone.1@29786.direct.athenahealth.com

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.

• Access Primary Care Physicians, Inc.

  • Family Medicine Physician
  • Whittier, CA
  • NPI 1750858510

  CA

  Medicare reassignment NPD

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1497302103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 TERRY AVE UNIT 728",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042452",
            "telephone_number": "330-931-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34716 1ST AVE S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036760",
            "telephone_number": "253-517-7058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMICONE",
        "first_name": "KAITLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "60963712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Ambur
• America'S Best Contacts & Eyeglasses
• American Current Care of Washington, P.S.
• Carlos Amezcua
• Victor Amezcua I, MEDICAL INTERPRETER
• Amrit Mattu DDS PLLC
• An Pham, OD, LLC
• Bo-Mi An, PHARMD
• David Anaya
• Amanda Elizabeth Anderson, LPN

• All providers in Federal Way, WA
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.