Active NPI
Katherine J Leone, MN, ARNP
- Family Nurse Practitioner
- Bellingham, WA
National Provider Identifier
1780604231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP30005390
- Practice address
- 4545 Cordata Pkwy
Bellingham, WA 98226-7123 - Phone
- (360) 738-2200
- Fax
- (360) 752-5674
- NPI assigned
- Jul 20, 2006
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP30005390 | WA | Primary |
Addresses
Primary practice location
4545 Cordata Pkwy
Bellingham, WA 98226-7123
Mailing address
PO Box 5096
Bellingham, WA 98227-5096
Phone (360) 738-2200
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780604231 | Medicaid | WA | |
| 0261489 | Other | WA | L&I AND CRIME VICTIMS |
| NP313WA | Medicaid | AK | |
| 0151PE | Other | WA | REGENCE |
| 7203234 | Other | WA | AETNA |
| 806598400 | Medicaid | ID | |
| 4300864 | Medicaid | MT |
Other names 1
- Kathy Pearce
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30005390 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital Dist No 1 Skagit | Current | Accepting new patients |
Locations
1415 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 416-5750
1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586
Organizations & group practices 1
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.
-
- General Practice Physician
- Mount Vernon, WA
- NPI 1023332749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286150400000",
"number": "1780604231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5096",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982275096",
"telephone_number": "360-738-2200",
"fax_number": "360-752-5674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4545 CORDATA PKWY",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982267123",
"telephone_number": "360-738-2200",
"fax_number": "360-752-5674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONE",
"first_name": "KATHERINE",
"middle_name": "J",
"credential": "MN, ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2010-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP30005390",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1780604231",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I AND CRIME VICTIMS",
"identifier": "0261489",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP313WA",
"state": "AK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "0151PE",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7203234",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "806598400",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4300864",
"state": "MT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHY",
"last_name": "PEARCE",
"credential": "MN, ARNP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.