Kimberly Ann Fay, RN

Primary specialty

Pediatric Oncology Registered NurseTaxonomy code 163WP0218X

License

RN00119906 Issued in WA

Practice address

Mamc 9040a Fitzsimmons Dr
Joint Base Lewis McChord, WA 98431-1100

Phone

(253) 297-8382

NPI assigned

Aug 26, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Kimberly Ann Grawe Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282780800000",
    "number": "1730495821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16408 96TH AVENUE CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983759678",
            "telephone_number": "253-297-8382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MAMC 9040A FITZSIMMONS DR",
            "city": "JOINT BASE LEWIS MCCHORD",
            "state": "WA",
            "postal_code": "984311100",
            "telephone_number": "253-297-8382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAY",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-26",
        "last_updated": "2010-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0218X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatric Oncology",
            "state": "WA",
            "license": "RN00119906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "GRAWE",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samantha Erdman
• Jacob Matthew Ernst, D.O.
• David Conor Evans, MD
• Heather Fairfax, REGISTERED NURSE
• Thor Farnsworth, M.D.
• Quantrell L Felder, LPN
• Juan Diego Fernandez, M.D.
• Paola Estefania Fernandez
• Jennifer Corey Fiandt, FNP-C, RN
• Seth Fillmore, FNP

• Registered Nurse in Joint Base Lewis McChord, WA
• Providers in Joint Base Lewis McChord, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; 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.