Active NPI
Carolyne Kabiro, APRN-CNP
- Family Nurse Practitioner
- Poulsbo, WA
National Provider Identifier
1689479495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP70116764
- Practice address
- 22180 Olympic College Way NW Ste 102
Poulsbo, WA 98370-6664 - Phone
- (360) 779-4444
- Fax
- (360) 697-2514
- NPI assigned
- Feb 17, 2025
- Last updated
- Sep 24, 2026
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP70116764 | WA | Primary |
| Registered Nurse | 163W00000X | 61451248 | WA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Registered Nurse | 163W00000X | 654346 | CA | |
| Family Nurse Practitioner | 363LF0000X | 889212 | NV | |
| Registered Nurse | 163W00000X | 48418 | NV |
Addresses
Primary practice location
22180 Olympic College Way NW Ste 102
Poulsbo, WA 98370-6664
Mailing address
22180 Olympic College Way NW
Poulsbo, WA 98370-6664
Phone (360) 779-4444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 654346 | CA | MD | Registered Nurse |
| 48418 | NV | MD | Registered Nurse |
| 61451248 | WA | MD | Registered Nurse |
| 889212 | NV | MD | Family Nurse Practitioner |
| AP70116764 | WA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790208000000",
"number": "1689479495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22180 OLYMPIC COLLEGE WAY NW",
"city": "POULSBO",
"state": "WA",
"postal_code": "983706664",
"telephone_number": "360-779-4444",
"fax_number": "360-697-2514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22180 OLYMPIC COLLEGE WAY NW STE 102",
"city": "POULSBO",
"state": "WA",
"postal_code": "983706664",
"telephone_number": "360-779-4444",
"fax_number": "360-697-2514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KABIRO",
"first_name": "CAROLYNE",
"credential": "APRN-CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-17",
"last_updated": "2026-09-24",
"certification_date": "2026-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP70116764",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "61451248",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "654346",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "889212",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NV",
"license": "48418",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poulsbo, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.