Kylee Ann Hull-Gingrey, CDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP60669053 Issued in WA

Practice address

614 Division St # Ms -19
Port Orchard, WA 98366-4614

Phone

(360) 337-5738

Fax

(360) 337-4704

NPI assigned

Dec 21, 2018

Reactivated

Nov 7, 2019

Last updated

Nov 7, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1545350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1790257244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 DIVISION ST # MS -19",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983664614",
            "telephone_number": "360-337-5738",
            "fax_number": "360-337-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 DIVISION ST # MS -19",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983664614",
            "telephone_number": "360-337-5738",
            "fax_number": "360-337-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULL-GINGREY",
        "first_name": "KYLEE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-21",
        "last_updated": "2019-11-07",
        "deactivation_date": "2019-07-25",
        "reactivation_date": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60669053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "090515",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea L Hopper
• Anne Horsley, FNP
• Gretchen Renee' Hubbard, LMT
• Victoria Lindsey Hudson, LMHC, LPC
• Tatiana Hughes, PT
• David Allan Hull, PHYSICAL THERAPIST
• Tasia Nicole Hulst, M.D.
• Kari Lynn Hunnicutt, M.S., CCC-SLP
• Natalie Alexandra Hunt, SPEECH-LANGUAGE PATH
• Rebecca Abagail Hunt, M.S.

• Addiction (Substance Use Disorder) Counselor in Port Orchard, WA
• Providers in Port Orchard, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.