Individual provider Active NPI

Kathy T Kinderman, ARNP

  • Family Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1730551201
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60593290 Issued in WA
Practice address
32 W 2ND Ave
Spokane, WA 99201-3602
Phone
(509) 626-9825
Fax
(509) 227-7070
NPI assigned
Oct 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60593290 WA Primary

Addresses

Primary practice location

32 W 2ND Ave
Spokane, WA 99201-3602

Mailing address

PO Box 421
Liberty Lake, WA 99019-0421
Phone (866) 747-2455

Other practice location 1

212 E Central Ave Ste 440
Spokane, WA 99208-6290
Phone (509) 252-9602

Other practice location 2

16528 E Desmet Ct Ste B3100
Spokane Valley, WA 99216-3522
Phone (509) 944-9440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 W 8TH Ave
Mother Gamelin Ctr 3Rd FLR
Spokane, WA 99204-2307

2632 Chalco PL NW
Olympia, WA 98502-3211

PO Box
Liberty Lake, WA 99019

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Washington CurrentSince Aug 1, 2016 Accepting new patients
Providence Health & Services - Washington Past Accepting new patients

Locations

1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701

32 W 2nd Ave
Spokane, WA 99201
Phone (509) 290-3106

212 E Central Ave
Ste 440
Spokane, WA 99208
Phone (509) 252-1977

16528 E Desmet Ct
Ste B3100
Spokane Valley, WA 99216
Phone (509) 944-9440

Organizations & group practices 2

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": "1445558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1730551201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990190421",
            "telephone_number": "866-747-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 W 2ND AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992013602",
            "telephone_number": "509-626-9825",
            "fax_number": "509-227-7070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 E Central Ave Ste 440",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992086290",
            "country_code": "US",
            "telephone_number": "509-252-9602",
            "fax_number": "509-227-7070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16528 E Desmet Ct Ste B3100",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992163522",
            "country_code": "US",
            "telephone_number": "509-944-9440",
            "fax_number": "509-227-7070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINDERMAN",
        "first_name": "KATHY",
        "middle_name": "T",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-23",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60593290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.