Kimberly Wash, CG6095783

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

CG60965783 Issued in WA

Practice address

612 Woodland Square Loop SE Ste 401
Lacey, WA 98503-1070

Phone

(360) 763-5797

NPI assigned

Jun 3, 2019

Last updated

Jun 3, 2019By 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

Practice roles

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.

• Olympic Health and Recovery Services

  • Community/Behavioral Health Agency
  • Lacey, WA
  • NPI 1760007504
  NPD (past)
• Thurston Mason Behavioral Health Organization

  dba Olympic Health and Recovery Services

  • Community/Behavioral Health Agency
  • Lacey, WA
  • NPI 1265932198
  NPD (past)

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1619535887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 WOODLAND SQUARE LOOP SE STE 401",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 WOODLAND SQUARE LOOP SE STE 401",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031070",
            "telephone_number": "360-763-5797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASH",
        "first_name": "KIMBERLY",
        "credential": "CG6095783",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-03",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "WA",
            "license": "CG60965783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Wang, DDS
• Jordan Ward
• Warren Physician Services
• Sarah Jane Warren
• David Michael Warwick, D.C.
• Washington Center for Pain Management PLLC
• Washington CVS Pharmacy LLC (CVS Pharmacy #16694)
• Washington Dental Corporation PC (Dentists of Lacey)
• Washington Dental Corporation, PC (Lacey Modern Dentistry)
• Washington Resource Sharing LLC (WRS Home Health Agency)

• Case Manager/Care Coordinator in Lacey, WA
• Providers in Lacey, WA by specialty
• Case Manager/Care Coordinator in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; 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.