Active NPI
Kathryn W Erickson, MD
- Pediatric Dermatology Physician
- Bellevue, WA
National Provider Identifier
1780794628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dermatology Physician
- License
- MD00024514
- Practice address
- 14030 NE 24TH St
Suite 202
Bellevue, WA 98007 - Phone
- (425) 454-1104
- Fax
- (425) 454-1290
- NPI assigned
- Aug 30, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD00024514 | WA | |
| Procedural Dermatology Physician | 207NS0135X | MD00024514 | WA | |
| Pediatric Dermatology Physician | 207NP0225X | MD00024514 | WA | Primary |
Addresses
Primary practice location
14030 NE 24TH St
Suite 202
Bellevue, WA 98007
Mailing address
14030 NE 24TH St
Suite 202
Bellevue, WA 98007
Phone (425) 454-1104
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1068824 | Medicaid | WA | |
| CN9262 | Other | WA | RAILROAD MEDICARE GROUP |
| 7080237 | Medicaid | WA | |
| 4291030 | Other | WA | AETNA |
| ER1189 | Other | WA | REGENCE |
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
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1780794628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14030 NE 24TH ST",
"address_2": "SUITE 202",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "98007",
"telephone_number": "425-454-1104",
"fax_number": "425-454-1290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14030 NE 24TH ST",
"address_2": "SUITE 202",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "98007",
"telephone_number": "425-454-1104",
"fax_number": "425-454-1290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERICKSON",
"first_name": "KATHRYN",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "WA",
"license": "MD00024514",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "WA",
"license": "MD00024514",
"primary": false
},
{
"code": "207NP0225X",
"taxonomy_group": "",
"desc": "Dermatology, Pediatric Dermatology",
"state": "WA",
"license": "MD00024514",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1068824",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP",
"identifier": "CN9262",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7080237",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4291030",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "ER1189",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.