Katherine Skillestad Winans, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

60170774 Issued in WA

Practice address

17122 Woodside Dr SE
Renton, WA 98058-9587

Phone

(206) 693-1930

NPI assigned

Aug 12, 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1760110019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17122 WOODSIDE DR SE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980589587",
            "telephone_number": "206-693-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17122 WOODSIDE DR SE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980589587",
            "telephone_number": "206-693-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINANS",
        "first_name": "KATHERINE",
        "middle_name": "SKILLESTAD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "60170774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "DRWINANS@KSW-PSYCHOLOGY.COM",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "DRWINANS@KSW-PSYCHOLOGY.COM",
            "address_1": "17122 Woodside Dr SE",
            "city": "Renton",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980589587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eve Catherine Wilson, PHARMD
• Jade Wilson
• Kit Wilson, RN
• Robert Wilson, LMHC
• Sharon Wilson, LMP
• Andrew Michael Winger, D.C.
• Ian G C Winn, L.M.P.
• Andrew Winstead, CDP
• Diana Wirtala
• Lola Mudgistratova Wise, MD

• Clinical Psychologist in Renton, WA
• Providers in Renton, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.