Kate Nicolina Detch

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

RN60866972 Issued in WA

Practice address

25742 104TH Ave SE
Kent, WA 98030-7691

Phone

(203) 240-2993

NPI assigned

Mar 30, 2020

Last updated

Mar 30, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1558999037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25742 104TH AVE SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980307691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25742 104TH AVE SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980307691",
            "telephone_number": "203-240-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETCH",
        "first_name": "KATE",
        "middle_name": "NICOLINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "WA",
            "license": "RN60866972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tetyana Derepa
• Fekade Deres
• Barb Despain-Odlaug, OT
• Senait Dessie, RN
• Kimberly Destefano
• Tara Dewaele, COTA/L
• Deborah Louise Deweber, M.A., L.M.H.C
• Dhaliwal Medical Associates PLLC (Washington Vital Vision)
• Dhaliwal Optometry PLLC
• Amardeep Dhaliwal, M.D.

• Community Health Registered Nurse in Kent, WA
• Providers in Kent, WA by specialty
• Community Health Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; 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.