Individual provider Active NPI

Michelle Kice, ARNP

  • Pediatrics Physician
  • Gig Harbor, WA
National Provider Identifier
1700428323
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
AP61012024 Issued in WA
Practice address
6201 Reid Dr NW
Gig Harbor, WA 98335-1349
Phone
(314) 780-0810
NPI assigned
Oct 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X AP61012024 WA Primary

Addresses

Primary practice location

6201 Reid Dr NW
Gig Harbor, WA 98335-1349

Mailing address

6201 Reid Dr NW
Gig Harbor, WA 98335-1349
Phone (314) 780-0810

Other names 1

  • Michelle Ingram Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kramer483@hotmail.com

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
I20191224000030 WA Practitioner - Nurse Practitioner 4486088556 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Nov 10, 2019 Accepting new patients
Multicare Health System CurrentSince Nov 10, 2019 Accepting new patients
Multicare Health System Current Accepting new patients
Multicare Health System Past Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

200 Lilly Rd NE
Ste C
Olympia, WA 98506
Phone (360) 918-8336

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

317 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 403-1400

Interoperability endpoints

  • Direct secure messaging: mkice206416@direct.multicare.org

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": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1700428323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 REID DR NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351349",
            "telephone_number": "314-780-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 REID DR NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351349",
            "telephone_number": "314-780-0810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KICE",
        "first_name": "MICHELLE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-15",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "AP61012024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kramer483@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "6201 Reid Dr NW",
            "city": "Gig Harbor",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983351349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "INGRAM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gig Harbor, WA

Sources for this page

Verify at the official NPI Registry.