Active NPI
Kimberly Suzanne Smits, ARNP
- Nurse Practitioner
- Federal Way, WA
National Provider Identifier
1497907406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP60039600
- Practice address
- 200 S 333Rd St
Ste 150
Federal Way, WA 98003-7391 - Phone
- (253) 275-6030
- Fax
- (253) 946-0428
- NPI assigned
- Oct 21, 2008
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN00167980 | WA | |
| Nurse Practitioner | 363L00000X | AP60039600 | WA | Primary |
Addresses
Primary practice location
200 S 333Rd St
Ste 150
Federal Way, WA 98003-7391
Mailing address
200 S 333Rd St
Ste 150
Federal Way, WA 98003-7391
Phone (253) 275-6030
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0242140 | Other | WA | STATE L&I |
| 9659087 | Medicaid | WA | |
| 8949812 | Other | WA | STATE CRIME VICTIM |
Other names 1
- Kimberly Suzanne Anderson
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
- Nurse Practitioner
- Education
- University of Washington School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
34509 9TH Ave S
Suite 203B
Federal Way, WA 98003-6700
Phone (253) 207-4850
Hospital & facility affiliations
- St Joseph Medical Center
- St Francis Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP60039600 | WA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Medical Group | Current | Accepting new patients | |
| Franciscan Medical Group | Current | Accepting new patients | |
| Franciscan Medical Group | Past | Accepting new patients | |
| Franciscan Medical Group | Past | Accepting new patients |
Locations
34509 9th Ave S
Ste 203B
Federal Way, WA 98003
Phone (253) 720-8595
6401 Kimball Dr
Gig Harbor, WA 98335
Phone (253) 858-4335
Interoperability endpoints
- ksmits28644@fhsce.catholichealth.net
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Silverdale, WA
- NPI 1093165334
-
- Internal Medicine Physician
- Bremerton, WA
- NPI 1154564649
-
- Surgery Physician
- Federal Way, WA
- NPI 1134237696
-
- Neurological Surgery Physician
- Federal Way, WA
- NPI 1386857530
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1124291117
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1952309098
-
- General Acute Care Hospital
- Federal Way, WA
- NPI 1093713091
-
- General Acute Care Hospital
- Federal Way, WA
- NPI 1922305606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289779200000",
"number": "1497907406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 S 333RD ST",
"address_2": "STE 150",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980037391",
"telephone_number": "253-275-6030",
"fax_number": "253-946-0428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S 333RD ST",
"address_2": "STE 150",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980037391",
"telephone_number": "253-275-6030",
"fax_number": "253-946-0428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITS",
"first_name": "KIMBERLY",
"middle_name": "SUZANNE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-21",
"last_updated": "2010-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN00167980",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP60039600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0242140",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9659087",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE CRIME VICTIM",
"identifier": "8949812",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "ANDERSON",
"middle_name": "SUZANNE",
"credential": "ARNP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; 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.