Kathryn Hryniewicz
Individual provider Active NPI Pediatrics Physician · Pullman, WA
NPI 1669748604 · NPPES record last updated Jul 10, 2025
Key facts
- NPI
- 1669748604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- MD60577173 (WA)
- Practice address
- 1205 SE Professional Mall Blvd Ste 104
Pullman, WA 99163-5423 - Phone
- (509) 332-2605
- NPI assigned
- Mar 23, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ID, WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171027001620 | ID | Practitioner - Pediatric Medicine | 8921374497 | Reassigns benefits to 1 organization |
| I20240105003325 | WA | Practitioner - Pediatric Medicine | 8921374497 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ML60292823 | WA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital District #1-a of Whitman County | Current |
Accepting new patients | |
| Public Hospital District #1-a of Whitman County | Past | Accepting new patients | |
| Public Hospital District # 1-a | Past | Accepting new patients |
Locations
2500 W A St
Ste 201
Moscow, ID 83843
Phone (208) 332-2828
1420 S Blaine St
Ste 5
Moscow, ID 83843
Phone (208) 882-2247
1205 SE Professional Mall Blvd
Ste 104
Pullman, WA 99163
Phone (509) 332-2605
825 SE Bishop Blvd
Ste 201
Pullman, WA 99163
Phone (509) 336-7577
835 SE Bishop Blvd
Pullman, WA 99163
Phone (509) 332-2541
840 SE Bishop Blvd
Ste 101
Pullman, WA 99163
Phone (509) 332-6139
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ML60292823 | WA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | MD60577173 | WA | Yes |
Addresses
Primary practice location
1205 SE Professional Mall Blvd Ste 104
Pullman, WA 99163-5423
Mailing address
4800 Sand Point Way NE
A-5850
Seattle, WA 98105-2864
Other practice location 1
4800 Sand Point Way NE
A-5950
Seattle, WA 98105-3901
Phone (206) 987-2525
Other providers in Pullman, WA
- Jaimie Lynn Hoskins
- Abby Myers Howard
- Andrea Howell
- Richard L Howell
- Victoria Alexandra Howells
- Yu Wei Hu
- John Richard Huberty
- Hannah Bancroft Hug
- James Lee Hug
- Martha Hunt
All providers in Pullman, WA · Pediatrics Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2025. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.