Kandice M Kerby

Primary specialty

Maternal Newborn Registered NurseTaxonomy code 163WM0102X

License

RN60897114 Issued in WA

Practice address

819 117TH St SW
Everett, WA 98204-4839

Phone

(206) 934-0851

NPI assigned

Jul 8, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1720711500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 117TH ST SW",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982044839",
            "telephone_number": "206-934-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 117TH ST SW",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982044839",
            "telephone_number": "206-934-0851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERBY",
        "first_name": "KANDICE",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-08",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "WA",
            "license": "RN60897114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dillon Owen Kennison
• Kent Physical Therapy & Sports Performance Center LLC (Engineered Sports Therapy)
• Tyler Kent, M.D.
• Vutha Keo, O.D.
• Tamara Kepler, LICSW
• Nicole Kerby
• Nancy Sue Kerlee, PHARM.D
• Naomi Ruth Kern, RN
• Nataliya I Kerpan
• Brent Michael Kerr, PT

• Maternal Newborn Registered Nurse in Everett, WA
• Providers in Everett, WA by specialty
• Maternal Newborn Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.