Kathryn Mae Al-Hafian, RN
Individual provider Active NPI Family Nurse Practitioner · Spokane, WA
NPI 1649439845 · NPPES record last updated Apr 5, 2021
Key facts
- NPI
- 1649439845
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP60037220 (WA)
- Practice address
- 101 W 8TH Ave
Spokane, WA 99204-2307 - Phone
- (509) 474-2894
- NPI assigned
- Jun 3, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sound Physicians Intensivists of Washington PLLC
Practice addresses (Care Compare)
101 W 8TH Ave
Spokane, WA 99204-2307
Phone (509) 474-3131
Hospital & facility affiliations
- Prov Sacred HRT Med Ctr & Childs Hosp.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081112000164 | WA | Practitioner - Nurse Practitioner | 5698834299 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN00125799 | WA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current |
Accepting new patients | |
| South Sound Inpatient Physicians, PLLC | Current |
Accepting new patients | |
| South Sound Inpatient Physicians PLLC | Current | Accepting new patients | |
| Sound Physicians Intensivists of Washington PLLC | Current |
Accepting new patients | |
| Multicare Health System | Current |
Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Integra Imaging, PS | Current |
Accepting new patients | |
| Inland Imaging LLC | Current |
Accepting new patients | |
| Integra Imaging, PS | Current |
Accepting new patients | |
| Inland Imaging Associates PS | Current |
Accepting new patients | |
| South Sound Inpatient Physicians PLLC | Current |
Accepting new patients |
Locations
500 E Webster Ave
Chewelah, WA 99109
Phone (509) 482-2154
1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000
1200 12th Ave S
Seattle, WA 98144
Phone (206) 326-2400
525 S Cowley St
Spokane, WA 99202
Phone (509) 625-3397
101 W 8th Ave
Spokane, WA 99204
Phone (509) 474-3181
101 W 8th Ave
Ste 100
Spokane, WA 99204
Phone (509) 474-2880
801 S Stevens St
Spokane, WA 99204
Phone (206) 621-4316
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
Interoperability endpoints
- kalhafian219040@wm.providencedirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN00125799 | WA | |
| Family Nurse Practitioner | 363LF0000X | AP60037220 | WA | Yes |
Addresses
Primary practice location
101 W 8TH Ave
Spokane, WA 99204-2307
Mailing address
PO Box 421
Liberty Lake, WA 99019-0421
Phone (866) 747-2455
Other practice location 1
105 W 8th Ave Ste 560E
Spokane, WA 99204-2302
Phone (509) 474-3330
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kalhafian219040@wm.providencedirect.org | Direct |
Other providers in Spokane, WA
- Patrick Olufemi Akinsuyi
- Davina Akiu
- Kwame Akowuah
- Amy Akramoff
- Catherine Akula
- Unconia I Al-Hajri
- Abraham Mehboob Alam
- Alan Cazan DDS PS
- Alan D Purdy MD
- Alana Bowman, LMHC LLC
All providers in Spokane, WA · Family Nurse Practitioner in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.