Individual provider Active NPI

Kathryn Emilia Dupre, DNP, ARNP, FNP, RN

  • Family Nurse Practitioner
  • Mount Vernon, WA
National Provider Identifier
1528667144
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61134918 Issued in WA
Practice address
2120 E Division St
Mount Vernon, WA 98274-4639
Phone
(360) 454-3911
NPI assigned
Oct 23, 2020
Last updated
Jan 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP61134918 WA Primary
Registered Nurse 163W00000X RN60671573 WA

Addresses

Primary practice location

2120 E Division St
Mount Vernon, WA 98274-4639

Mailing address

707 101St Ave SE
Lake Stevens, WA 98258-1662
Phone (425) 315-3366

Other practice location 1

2219 Rimland Dr Ste 301
Bellingham, WA 98226-8759
Phone (360) 454-3911

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240522003696 WA Practitioner - Nurse Practitioner 5597107540 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN60671573WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Altea Medical Washington PLLC CurrentSince Nov 1, 2025 Accepting new patients
Post Acute Medical PLLC CurrentSince Apr 11, 2024 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

414 17th St SE
Auburn, WA 98002
Phone (253) 320-0748

2219 Rimland Dr
Ste 301
Bellingham, WA 98226
Phone (360) 305-1211

303 Telegraph Rd
Bellingham, WA 98226
Phone (360) 863-6696

2120 E Division St
Mount Vernon, WA 98274
Phone (360) 424-4258

2821 S Walden St
Seattle, WA 98144
Phone (206) 577-6200

6025 N Assembly St
Spokane, WA 99205
Phone (509) 326-8282

6220 S Alaska St
Tacoma, WA 98408
Phone (253) 473-2273

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1528667144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 101ST AVE SE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982581662",
            "telephone_number": "425-315-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 E DIVISION ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744639",
            "telephone_number": "360-454-3911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2219 Rimland Dr Ste 301",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982268759",
            "country_code": "US",
            "telephone_number": "360-454-3911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUPRE",
        "first_name": "KATHRYN",
        "middle_name": "EMILIA",
        "name_prefix": "Mrs.",
        "credential": "DNP, ARNP, FNP, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-23",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61134918",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60671573",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

Verify at the official NPI Registry.