Individual provider Active NPI

Kimberly Elizabeth Horvath, PAC CM

  • Physician Assistant
  • Tacoma, WA
National Provider Identifier
1821075433
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA10001876 Issued in WA
Practice address
6002 Westgate Blvd Ste 230
Tacoma, WA 98406-2572
Phone
(253) 761-2244
NPI assigned
Dec 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Lay Midwife 175M00000X
Physician Assistant 363A00000X 025211 PA10001876 WA
Physician Assistant 363A00000X PA10001876 WA Primary

Addresses

Primary practice location

6002 Westgate Blvd Ste 230
Tacoma, WA 98406-2572

Mailing address

6002 Westgate Blvd Ste 230
Tacoma, WA 98406-2572
Phone (253) 761-2244

Other identifiers 5

IdentifierTypeStateIssuer
0270556OtherWAL&I
8345050MedicaidWA
G8895789OtherWAMEDICARE
1055128MedicaidWA
5413H0OtherWAREGENCE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address khorvath17303@fhsce.catholichealth.net Direct

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
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6002 Westgate Blvd
Suite 160
Tacoma, WA 98406-2571

Hospital & facility affiliations

  • St Anthony Hospital Hospital, Gig Harbor, WA, CCN 500151
  • St Joseph Medical Center Hospital, Tacoma, WA, CCN 500108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
025211 PA10001876WAMDPhysician Assistant

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1821075433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6002 WESTGATE BLVD STE 230",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062572",
            "telephone_number": "253-761-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6002 WESTGATE BLVD STE 230",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062572",
            "telephone_number": "253-761-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORVATH",
        "first_name": "KIMBERLY",
        "middle_name": "ELIZABETH",
        "credential": "PAC CM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-23",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175M00000X",
            "taxonomy_group": "",
            "desc": "Midwife, Lay",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "025211 PA10001876",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10001876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0270556",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8345050",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "G8895789",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1055128",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "5413H0",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khorvath17303@fhsce.catholichealth.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6002 Westgate Blvd Ste 230",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984062572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.