Active NPI
Kathryn George, ARNP
- Family Nurse Practitioner
- Edmonds, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP60676460
- Practice address
- 21911 76TH Ave W Ste 110
Edmonds, WA 98026-7918 - NPI assigned
- Aug 19, 2016
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP60676460 | WA | |
| Family Nurse Practitioner | 363LF0000X | RN60177789 | WA | |
| Family Nurse Practitioner | 363LF0000X | AP60676460 | WA | Primary |
Addresses
Primary practice location
21911 76TH Ave W Ste 110
Edmonds, WA 98026-7918
Mailing address
PO Box 25608
Salt Lake City, UT 84125-0608
Phone (206) 320-4476
Other practice location 1
15418 Main St
Mill Creek, WA 98012-9030
Phone (425) 225-8004
Other practice location 2
15418 Main St
Mill Creek, WA 98012-9030
Phone (425) 225-8004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2066621 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kgeorge1041706@wm.providencedirect.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21911 76TH Ave W
Suite 110
Edmonds, WA 98026-7918
Phone (425) 640-4950
Hospital & facility affiliations
- Swedish Edmonds Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP60676460 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Care Washington PLLC | Current | Accepting new patients | |
| Swedish Health Services | Current | Accepting new patients | |
| Optum Care Washington PLLC | Current | Accepting new patients | |
| Swedish Health Services | Current | Accepting new patients |
Locations
21911 76th Ave W
Ste 110
Edmonds, WA 98026
Phone (425) 640-4950
1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903
13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700
15418 Main St
Mill Creek, WA 98012
Phone (425) 225-8000
2450 33rd Ave W
Ste 100
Seattle, WA 98199
Phone (206) 320-3364
800 5th Ave
Ste 600
Seattle, WA 98104
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Seattle, WA
- NPI 1831139724
-
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1831186766
-
- Durable Medical Equipment & Medical Supplies
- Marysville, WA
- NPI 1194428425
-
- Physical Therapist
- Seattle, WA
- NPI 1619680840
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Edmonds, WA
- NPI 1033107214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621468800000",
"number": "1801341870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25608",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841250608",
"telephone_number": "206-320-4476",
"fax_number": "206-568-7043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21911 76TH AVE W STE 110",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980267918"
}
],
"practiceLocations": [
{
"address_1": "15418 Main St",
"address_purpose": "LOCATION",
"city": "Mill Creek",
"state": "WA",
"postal_code": "980129030",
"country_code": "US",
"telephone_number": "425-225-8004",
"fax_number": "425-225-8021",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15418 Main St",
"address_purpose": "LOCATION",
"city": "Mill Creek",
"state": "WA",
"postal_code": "980129030",
"country_code": "US",
"telephone_number": "425-225-8004",
"fax_number": "425-225-8021",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GEORGE",
"first_name": "KATHRYN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-19",
"last_updated": "2021-05-20",
"certification_date": "2021-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP60676460",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "RN60177789",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP60676460",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2066621",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kgeorge1041706@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "21911 76th Ave W Ste 110",
"city": "Edmonds",
"state": "WA",
"country_code": "US",
"postal_code": "980267918",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.