Active NPI
Kathleen McBroom, ARNP,CNM
- Ambulatory Women's Health Care Registered Nurse
- Seattle, WA
National Provider Identifier
1598875965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Women's Health Care Registered Nurse
- License
- RN00129228
- Practice address
- 201 16TH Ave E
Ms: CWB-2
Seattle, WA 98112-5226 - Phone
- (206) 324-1449
- Fax
- (206) 324-6977
- NPI assigned
- Aug 30, 2006
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | AP30005457 | WA | |
| Ambulatory Women's Health Care Registered Nurse | 163WW0101X | RN00129228 | WA | Primary |
Addresses
Primary practice location
201 16TH Ave E
Ms: CWB-2
Seattle, WA 98112-5226
Mailing address
905 Spruce St Ste 300
Seattle, WA 98104-2474
Phone (206) 461-6935
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9639154 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 720 | AK | MD | Physician Assistant |
| AP30005457 | WA | MD | Obstetrics & Gynecology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617926400000",
"number": "1598875965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 SPRUCE ST STE 300",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981042474",
"telephone_number": "206-461-6935",
"fax_number": "206-461-8382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 16TH AVE E",
"address_2": "MS: CWB-2",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981125226",
"telephone_number": "206-324-1449",
"fax_number": "206-324-6977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCBROOM",
"first_name": "KATHLEEN",
"credential": "ARNP,CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2021-04-09",
"certification_date": "2021-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "WA",
"license": "AP30005457",
"primary": false
},
{
"code": "163WW0101X",
"taxonomy_group": "",
"desc": "Registered Nurse, Women's Health Care, Ambulatory",
"state": "WA",
"license": "RN00129228",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9639154",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "201 16th Ave E",
"address_2": "MS: CWB-2",
"city": "Seattle",
"state": "WA",
"country_code": "US",
"postal_code": "981125226",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.