Lauren Kmiechick

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP61094879 Issued in WA

Practice address

35002 Pacific Hwy S Ste 105
Federal Way, WA 98003-8365

Phone

(253) 944-1289

Fax

(253) 944-1292

NPI assigned

May 5, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, OR2 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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Rose City Pain Relief LLCGroup PAC ID 4183068794, 3 clinicians

Western Washington Emergency Physicians PLLCGroup PAC ID 0749514735, 78 clinicians

Seattle Pain Relief PLLCGroup PAC ID 9032368220, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Multicare Good Samaritan Hospital Hospital, Puyallup, WA, CCN 500079

Merit-based Incentive Payment System (MIPS)

Final score

96.78 of 100Reported as group

Quality

95

Improvement activities

40

Cost

79.33

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Seattle Pain Relief PLLC

  • Family Medicine Physician
  • Federal Way, WA
  • NPI 1710240841

  WA

  Medicare reassignment Care Compare group NPD
• Rose City Pain Relief LLC

  • Pain Medicine (Anesthesiology) Physician
  • Clackamas, OR
  • NPI 1396513776

  OR

  Medicare reassignment Care Compare group NPD
• Western Washington Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Parkland, WA
  • NPI 1801352505

  WA

  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Multicare Health System

  • General Acute Care Hospital
  • Puyallup, WA
  • NPI 1841231461

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1497376115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35002 PACIFIC HWY S STE 105",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038365",
            "telephone_number": "253-944-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35002 PACIFIC HWY S STE 105",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038365",
            "telephone_number": "253-944-1289",
            "fax_number": "253-944-1292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KMIECHICK",
        "first_name": "LAUREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-05",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60804900",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61094879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rajwant Kler
• Jaime Leigh Klippert Fajardo, D.O.
• Deborah Kloby, D.C.
• Jay Kloby, MD
• Daniel John Klocke, RD
• Carly Jean Knapp, PH.D.
• Cari Knight, LMP
• Robynne Knight, L.AC, EAMP
• Lindsey Knights
• Anna Koback

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.
• 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.

Verify at the official NPI Registry.