Individual provider Active NPI

Kimberly Schwittay

  • Nurse Practitioner
  • Mill Creek, WA
National Provider Identifier
1710316682
Registry record updated Feb 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60404993 Issued in WA
Practice address
3916 148TH St SE
Mill Creek, WA 98012-4751
Phone
(425) 304-1100
Fax
(425) 304-1102
NPI assigned
Nov 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71248 MT
Nurse Practitioner 363L00000X AP60404993 WA Primary

Addresses

Primary practice location

3916 148TH St SE
Mill Creek, WA 98012-4751

Mailing address

PO Box 5127
Everett, WA 98206-5127
Phone (425) 304-1100

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
I20170316002257 WA Practitioner - Nurse Practitioner 1951539618 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71248MTMDNurse Practitioner
AP60404993WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Care Washington PLLC CurrentSince Apr 10, 2017 Accepting new patients
CP Snohomish County Wa, LLC Current Accepting new patients
Providence Health & Services - Washington CurrentSince Jan 7, 2023 Accepting new patients
CP Seattle Wa Hospice, LLC Current Accepting new patients
Optum Care Washington PLLC CurrentSince Apr 10, 2017 Accepting new patients
Providence Health & Services-Washington CurrentSince Jan 1, 2025 Accepting new patients
Providence Health & Services-Wa Current Accepting new patients
Providence Health & Services - Washington CurrentSince Jan 7, 2023 Accepting new patients
Providence Health & Services - Washington CurrentSince Jan 7, 2023 Accepting new patients
Providence Health & Services-Wa CurrentSince Jan 1, 2025 Accepting new patients
Optum Care Washington PLLC Past Accepting new patients
Providence Health & Services - Washington PastSince Jan 29, 2023 Accepting new patients
Optum Care Washington PLLC Past Accepting new patients
Providence Health & Services-Wa Nurse Practitioner Past Accepting new patients

Locations

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

1615 75th St SW
Ste 210
Everett, WA 98203
Phone (425) 261-4780

900 Pacific Ave
Fl 5
Everett, WA 98201
Phone (425) 258-7311

1509 California St
Everett, WA 98201
Phone (425) 258-7900

3916 148th St SE
Ste 201
Mill Creek, WA 98012
Phone (425) 304-1100

1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299

2811 S 102nd St
Ste 220
Tukwila, WA 98168
Phone (206) 320-4000

Interoperability endpoints

  • Direct secure messaging: kschwittay328102@wm.providencedirect.org

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488153600000",
    "number": "1710316682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5127",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982065127",
            "telephone_number": "425-304-1100",
            "fax_number": "425-304-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 148TH ST SE",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980124751",
            "telephone_number": "425-304-1100",
            "fax_number": "425-304-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWITTAY",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-01",
        "last_updated": "2017-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MT",
            "license": "71248",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60404993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Creek, WA

Sources for this page

Verify at the official NPI Registry.