NPIMap

Organization Active NPI

Kirkpatrick Family Care

  • Physician Assistant
  • Longview, WA
National Provider Identifier
1558771261
Registry record updated May 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60463399 Issued in WA
Legal business name
KIRKPATRICK FAMILY CARE
Practice address
1706 Washington Way
Longview, WA 98632-2952
Phone
(360) 423-9580
Fax
(360) 423-6230
NPI assigned
May 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2014

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

Authorized official

Name
Steve Trotter
Title
Director
Phone
(360) 423-0390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X PA60463399 WA Primary

Addresses

Primary practice location

1706 Washington Way
Longview, WA 98632-2952

Mailing address

PO Box 1338
Longview, WA 98632-7785
Phone (360) 423-9580

National Provider Directory

National Provider Directory
Tax ID family
Kirkpatrick Family Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73626

NPI Registry JSON

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

{
    "created_epoch": "1398988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398988800000",
    "number": "1558771261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1338",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986327785",
            "telephone_number": "360-423-9580",
            "fax_number": "360-423-6230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 WASHINGTON WAY",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322952",
            "telephone_number": "360-423-9580",
            "fax_number": "360-423-6230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRKPATRICK FAMILY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-02",
        "last_updated": "2014-05-02",
        "status": "A",
        "authorized_official_last_name": "TROTTER",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "360-423-0390"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60463399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; 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.