Individual provider Active NPI

Kate Jewson Whitener, CPNP-PC

  • Pediatric Nurse Practitioner
  • Lakewood, WA
National Provider Identifier
1740954965
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
61202906 Issued in WA
Practice address
7424 Bridgeport Way W Ste 103
Lakewood, WA 98499-8137
Phone
(253) 581-2111
Fax
(253) 581-2712
NPI assigned
Aug 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 61202906 WA Primary

Addresses

Primary practice location

7424 Bridgeport Way W Ste 103
Lakewood, WA 98499-8137

Mailing address

PO Box 34703
Seattle, WA 98124-1703

Other identifiers 1

IdentifierTypeStateIssuer
2191427MedicaidWA

Other names 1

  • Kate Devin Jewson Former name

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
I20211116002238 WA Practitioner - Nurse Practitioner 0446649297 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61202906WAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Jan 8, 2025 Accepting new patients
Sea Mar Community Health Centers Current Accepting new patients
Sea Mar Community Health Centers Pediatrics CurrentSince Oct 25, 2021 Accepting new patients
Sea Mar Community Health Centers CurrentSince Oct 25, 2021 Accepting new patients
Multicare Health System Current Accepting new patients
Multicare Health System CurrentSince Jan 8, 2025 Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

1400 N Laventure Rd
Mount Vernon, WA 98273
Phone (360) 428-4075

200 Lilly Rd NE
Ste C
Olympia, WA 98506
Phone (360) 918-8336

7424 Bridgeport Way W
Ste 103
Tacoma, WA 98499
Phone (253) 581-2111

317 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 403-1400

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

7424 Bridgeport Way W
Tacoma, WA 98499
Phone (253) 581-2111

Organizations & group practices 6

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": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1740954965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34703",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7424 BRIDGEPORT WAY W STE 103",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984998137",
            "telephone_number": "253-581-2111",
            "fax_number": "253-581-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITENER",
        "first_name": "KATE",
        "middle_name": "JEWSON",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-02",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WA",
            "license": "61202906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2191427",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATE",
            "last_name": "JEWSON",
            "middle_name": "DEVIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lakewood, WA

Sources for this page

Verify at the official NPI Registry.