Individual provider Active NPI

Kristine Ellyn Highlander, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1689083032
Registry record updated Aug 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP60491294 Issued in WA
Practice address
2600 SW Holden St.
Navos Inpatient Services
Seattle, WA 98126
Phone
(206) 933-7200
Fax
(206) 933-7250
NPI assigned
Aug 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP60491294 WA Primary

Addresses

Primary practice location

2600 SW Holden St.
Navos Inpatient Services
Seattle, WA 98126

Mailing address

4725-38TH Ave NE
Navos Inpatient Services
Seattle, WA 98126
Phone (206) 933-7200

Other names 1

  • Kristine Ellyn Kennaugh Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141118002429 WA Practitioner - Nurse Practitioner 2567684079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Navos 32 clinicians

Practice addresses (Care Compare)

2600 SW Holden St
Seattle, WA 98126-3505
Phone (206) 933-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Navos Current Accepting new patients
Navos CurrentSince Aug 26, 2014 Accepting new patients
Navos Past Accepting new patients
Northpoint Washington LLC Past Accepting new patients

Locations

2600 SW Holden St
Seattle, WA 98126
Phone (206) 241-0990

Organizations & group practices 4

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": "1407715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407715200000",
    "number": "1689083032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725-38TH AVE NE",
            "address_2": "NAVOS INPATIENT SERVICES",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98126",
            "telephone_number": "206-933-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 SW HOLDEN ST.",
            "address_2": "NAVOS INPATIENT SERVICES",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98126",
            "telephone_number": "206-933-7200",
            "fax_number": "206-933-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGHLANDER",
        "first_name": "KRISTINE",
        "middle_name": "ELLYN",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-11",
        "last_updated": "2014-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60491294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINE",
            "last_name": "KENNAUGH",
            "middle_name": "ELLYN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.