Kelly James Remy, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA 10003612 Issued in WA

Practice address

7345 Linderson Way SW
Cedar Creek Corrections - (Rural Address Not Recognized
Tumwater, WA 98501-6504

Phone

(360) 359-4070

NPI assigned

Jun 18, 2010

Sex

Male

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

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324598400000",
    "number": "1679894133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37",
            "address_2": "12200 BORDEAUX ROAD",
            "city": "LITTLEROCK",
            "state": "WA",
            "postal_code": "985560037",
            "telephone_number": "360-359-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7345 LINDERSON WAY SW",
            "address_2": "CEDAR CREEK CORRECTIONS - (RURAL ADDRESS NOT RECOGNIZED",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985016504",
            "telephone_number": "360-359-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMY",
        "first_name": "KELLY",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-18",
        "last_updated": "2011-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA 10003612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Raridon
• Susan Ray, BCBA
• Redwood Doulas
• Lisa Reed, LMFT
• Rem Washington LLC
• Ivy Renschler, LMHC
• Andrea Marie Repphun, MD
• Matt Rhea, PHARMD
• Dana Richards
• Kristi Michelle Richmond

• Medical Physician Assistant in Tumwater, WA
• Providers in Tumwater, WA by specialty
• Medical Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; 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.