Elizabeth Lyn Kintner

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

MA60487460 Issued in WA

Practice address

5808 Summitview Ave Ste D
Yakima, WA 98908-3095

Phone

(509) 910-3945

NPI assigned

Aug 28, 2015

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440720000000",
    "number": "1528435229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 HIGHLAND DR",
            "city": "ZILLAH",
            "state": "WA",
            "postal_code": "989539716",
            "telephone_number": "509-910-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5808 SUMMITVIEW AVE STE D",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083095",
            "telephone_number": "509-910-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINTNER",
        "first_name": "ELIZABETH",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-28",
        "last_updated": "2015-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "WA",
            "license": "MA60487460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberta G King, M.ED., LMHC
• Kathleen J Kinkead, LMP
• Bruce Paul Kinney, D.D.S.
• Roseanne Kinney, RPH
• Tammy A. Kinter, CDP
• Debra Ann Kinzler-Cavin, LMP
• Timothy Earl Kipling
• Summer J Kirby, LMP
• David Arthur Kirk, PA-C
• Nora Brigitta Kirschner, MD

• Community Health Worker in Yakima, WA
• Providers in Yakima, WA by specialty
• Community Health Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.