Individual provider Active NPI

Bernadette N Kimemia, ARNP

  • Family Nurse Practitioner
  • Tacoma, WA
National Provider Identifier
1689148090
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60920611 Issued in WA
Practice address
1201 Pacific Ave Ste 400
Tacoma, WA 98402-4381
Phone
(253) 300-8453
NPI assigned
Jan 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60920611 WA Primary

Addresses

Primary practice location

1201 Pacific Ave Ste 400
Tacoma, WA 98402-4381

Mailing address

6210 147TH PL SE
Everett, WA 98208-9387
Phone (407) 452-7166

Other practice location 1

6210 147th Pl SE
Everett, WA 98208-9387
Phone (407) 452-7166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190412001550 WA Practitioner - Nurse Practitioner 0648511063 Reassigns benefits to 5 organizations
I20250506003027 OR Practitioner - Nurse Practitioner 0648511063 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wound Healing Care Specialists Wa PCGroup PAC ID 4880185354, 3 clinicians

Practice addresses (Care Compare)

450 Alaskan Way S
Suite 200
Seattle, WA 98104-2785
Phone (206) 208-9095

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Altea Medical Oregon LLC CurrentSince Apr 2, 2025 Accepting new patients
J M Geiss DO Apc CurrentSince Sep 29, 2025 Accepting new patients
House Call Doctors CFL Current Accepting new patients
Post Acute Medical PLLC CurrentSince Aug 30, 2024 Accepting new patients
Corner Health Medical Group P a Family CurrentSince Dec 23, 2025 Accepting new patients
Altea Medical Washington PLLC CurrentSince Mar 1, 2025 Accepting new patients
Wound Healing Care Specialists Wa PC CurrentSince Sep 29, 2025 Accepting new patients
Senior Doc Wa PC CurrentSince Sep 29, 2025 Accepting new patients
Novellus Health LLC Past Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

5 Hutton Centre Dr
Ste 950
Santa Ana, CA 92707
Phone (855) 434-7663

25044 Peachland Ave
Ste 110
Santa Clarita, CA 91321

312 Arizona Ave
Ste 314
Santa Monica, CA 90401

1250 SE Roberts Ave
Gresham, OR 97080
Phone (503) 667-5430

637 Ash St
Myrtle Point, OR 97458
Phone (541) 572-2066

414 17th St SE
Auburn, WA 98002
Phone (253) 320-0748

303 Telegraph Rd
Bellingham, WA 98226
Phone (360) 863-6696

7024 Evergreen Way
Ste A
Everett, WA 98203
Phone (360) 209-3090

1919 112th St SW
Everett, WA 98204
Phone (425) 249-0024

912 State Ave
Marysville, WA 98270

1100 E Nelson Rd
Moses Lake, WA 98837
Phone (509) 765-6788

450 Alaskan Way S
Ste 200
Seattle, WA 98104
Phone (206) 208-9095

1201 2nd Ave
Ste 900
Seattle, WA 98101
Phone (206) 801-1621

820 NW 95th St
Seattle, WA 98117
Phone (206) 781-6800

2821 S Walden St
Seattle, WA 98144
Phone (206) 577-6200

6025 N Assembly St
Spokane, WA 99205
Phone (509) 326-8282

6220 S Alaska St
Tacoma, WA 98408
Phone (253) 473-2273

Organizations & group practices 9

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": "1547769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1689148090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 147TH PL SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982089387",
            "telephone_number": "407-452-7166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 PACIFIC AVE STE 400",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024381",
            "telephone_number": "253-300-8453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6210 147th Pl SE",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982089387",
            "country_code": "US",
            "telephone_number": "407-452-7166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMEMIA",
        "first_name": "BERNADETTE",
        "middle_name": "N",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-18",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60920611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.