Active NPI
Kathy M. Heggenstaller, S.W.
- Social Worker
- Bremerton, WA
National Provider Identifier
1760549752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- RC00030118
- Practice address
- 5002 Kitsap Way
#206
Bremerton, WA 98312-2359 - Phone
- (360) 782-1700
- NPI assigned
- Jan 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | RC00030118 | WA | Primary |
Addresses
Primary practice location
5002 Kitsap Way
#206
Bremerton, WA 98312-2359
Mailing address
PO Box 34584
Seattle, WA 98124-1584
Phone (509) 241-7349
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RC00030118 | WA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210204800000",
"number": "1760549752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34584",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241584",
"telephone_number": "509-241-7349",
"fax_number": "509-241-7628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5002 KITSAP WAY",
"address_2": "#206",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983122359",
"telephone_number": "360-782-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEGGENSTALLER",
"first_name": "KATHY",
"middle_name": "M.",
"credential": "S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2008-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WA",
"license": "RC00030118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bremerton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.