Active NPI
Multicare Health System
Doing business as Kent MultiCare Clinic
- Family Medicine Physician
- Kent, WA
National Provider Identifier
1811949928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MULTICARE HEALTH SYSTEM
- Doing business as
- Kent MultiCare Clinic
- Practice address
- 222 State Ave N
Kent, WA 98030-4544 - Phone
- (253) 372-7788
- NPI assigned
- May 17, 2006
- Last updated
- May 15, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vincent H Schmitz
- Title
- Cfo
- Phone
- (253) 459-8000
Specialties & licenses 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | ||
| Nurse Practitioner | 363L00000X | NU | ||
| Psychologist | 103T00000X | NU | ||
| Social Worker | 104100000X | NU | ||
| Nutritionist | 133N00000X | NU | ||
| Registered Dietitian | 133V00000X | NU | ||
| Pharmacist | 183500000X | NU | ||
| Family Medicine Physician | 207Q00000X | NU | Primary | |
| Podiatrist | 213E00000X | NU | ||
| Physical Therapist | 225100000X | NU | ||
| Massage Therapist | 225700000X | NU | ||
| Occupational Therapist | 225X00000X | NU | ||
| Audiologist | 231H00000X | NU | ||
| Speech-Language Pathologist | 235Z00000X | NU |
Addresses
Primary practice location
222 State Ave N
Kent, WA 98030-4544
Mailing address
222 State Ave N
Kent, WA 98030-4544
Phone (253) 372-7788
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45941 | Other | WA | STATE L&I |
| 7062938 | Medicaid | WA | |
| 7088933 | Medicaid | WA |
Other names 1
- Kent MultiCare Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031105000760 | WA | Part B Supplier - Clinic/Group Practice | 7719899897 |
Receives reassigned benefits from 4,909 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryLocations
219 State Ave N
Ste 120
Kent, WA 98030
Practitioners & affiliated clinicians
Practitioners 155
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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-
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- NPI 1780909184
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- Pediatrics Physician
- Puyallup, WA
- NPI 1851368575
-
- Physical Therapist
- Lakewood, WA
- NPI 1285365007
-
- Women's Health Nurse Practitioner
- Seattle, WA
- NPI 1891009650
-
- Surgery Physician
- Tacoma, WA
- NPI 1184897332
-
- Obstetrics & Gynecology Physician
- Kent, WA
- NPI 1225186828
-
- Family Nurse Practitioner
- Tacoma, WA
- NPI 1952118853
-
- Marriage & Family Therapist
- Lakewood, WA
- NPI 1992348361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242345600000",
"number": "1811949928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 STATE AVE N",
"city": "KENT",
"state": "WA",
"postal_code": "980304544",
"telephone_number": "253-372-7788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 STATE AVE N",
"city": "KENT",
"state": "WA",
"postal_code": "980304544",
"telephone_number": "253-372-7788"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MULTICARE HEALTH SYSTEM",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-17",
"last_updated": "2009-05-15",
"status": "A",
"authorized_official_last_name": "SCHMITZ",
"authorized_official_first_name": "VINCENT",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "253-459-8000"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "45941",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7062938",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7088933",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Kent MultiCare Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.