Individual provider Active NPI

Kathleen R Lejameyer, ARNP

  • Clinical Nurse Specialist
  • Spokane Valley, WA
National Provider Identifier
1710213558
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
AP60105177 Issued in WA
Practice address
1807 N Hutchinson Rd
Spokane Valley, WA 99212-2444
Phone
(509) 456-7414
Fax
(509) 624-0763
NPI assigned
Oct 29, 2009
Last updated
Jul 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X AP60105177 WA Primary
Clinical Nurse Specialist 364S00000X NP-1141A ID

Addresses

Primary practice location

1807 N Hutchinson Rd
Spokane Valley, WA 99212-2444

Mailing address

1807 N Hutchinson Rd
Spokane Valley, WA 99212-2444
Phone (509) 456-7414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 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
I20100118000183 WA Practitioner - Nurse Practitioner 3870635642 Reassigns benefits to 1 organization
I20120111000607 ID Practitioner - Nurse Practitioner 3870635642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain West Derm - Blackhart PLLCGroup PAC ID 1153609813, shared by 7 NPIs, 103 clinicians

Practice addresses (Care Compare)

1700 W Riverstone Dr
Coeur D Alene, ID 83814-5683
Phone 51293039091255

1807 N Hutchinson Rd
Spokane Valley, WA 99212-2444
Phone 51293039091255

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain West Derm - Blackhart PLLC CurrentSince Oct 1, 2020 Accepting new patients
Mountain West Derm-Blackhart, PLLC CurrentSince Oct 1, 2020 Accepting new patients
Mountain West Derm-Blackhart, PLLC CurrentSince Oct 1, 2020 Accepting new patients
Dermatology Associates,P.C. Past Accepting new patients

Locations

7733 W Emerald St
Boise, ID 83704
Phone (208) 376-4777

1700 W Riverstone Dr
Coeur D Alene, ID 83814
Phone (208) 770-2822

5905 N Mayfair St
#200
Spokane, WA 99208
Phone 51293039091255

1807 N Hutchinson Rd
Spokane Valley, WA 99212
Phone (509) 456-3414

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1710213558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 N HUTCHINSON RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992122444",
            "telephone_number": "509-456-7414",
            "fax_number": "509-624-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 N HUTCHINSON RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992122444",
            "telephone_number": "509-456-7414",
            "fax_number": "509-624-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEJAMEYER",
        "first_name": "KATHLEEN",
        "middle_name": "R",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-29",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "WA",
            "license": "AP60105177",
            "primary": true
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "ID",
            "license": "NP-1141A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

Verify at the official NPI Registry.