Active NPI
Katharine Loco-Marshall, PA-C
- Medical Physician Assistant
- Olympia, WA
National Provider Identifier
1679056824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA60884510
- Practice address
- 4816 She-Nah-Num Drive
Olympia, WA 98513 - Phone
- (505) 232-6663
- NPI assigned
- Sep 13, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA60884510 | WA | Primary |
Addresses
Primary practice location
4816 She-Nah-Num Drive
Olympia, WA 98513
Mailing address
4816 She-Nah-Num Drive
Olympia, WA 98513
Phone (505) 232-6663
Other names 1
- Katharine Loco
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
801 Vassar Dr NE
Albuquerque, NM 87106-2725
Phone (505) 248-4000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- katharine.loco-marshall.1@22263.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597190400000",
"number": "1679056824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4816 SHE-NAH-NUM DRIVE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "98513",
"telephone_number": "505-232-6663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4816 SHE-NAH-NUM DRIVE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "98513",
"telephone_number": "505-232-6663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCO-MARSHALL",
"first_name": "KATHARINE",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-13",
"last_updated": "2020-08-12",
"certification_date": "2020-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WA",
"license": "PA60884510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHARINE",
"last_name": "LOCO",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.