Organization Active NPI

Kimberly D. Glace-Krause

  • Public Health or Welfare Agency
  • Lynden, WA
National Provider Identifier
1821494279
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
MC 60509093 Issued in WA
Legal business name
KIMBERLY D. GLACE-KRAUSE
Doing business as
Kim Krause
Practice address
1537 Primrose CT
Lynden, WA 98264-9353
Phone
(913) 568-9091
NPI assigned
Nov 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

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

Authorized official

Name
Mrs. Kimberly Denee Glace-Krause, MHCA
Title
Counselor
Phone
(913) 568-9091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X MC 60509093 WA Primary

Addresses

Primary practice location

1537 Primrose CT
Lynden, WA 98264-9353

Mailing address

1537 Primrose CT
Lynden, WA 98264-9353
Phone (913) 568-9091

Other names 1

  • Kim Krause Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415836800000",
    "number": "1821494279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1537 PRIMROSE CT",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982649353",
            "telephone_number": "913-568-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 PRIMROSE CT",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982649353",
            "telephone_number": "913-568-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY D. GLACE-KRAUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-13",
        "last_updated": "2014-11-13",
        "status": "A",
        "authorized_official_last_name": "GLACE-KRAUSE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "DENEE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "913-568-9091",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MHCA"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "WA",
            "license": "MC 60509093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kim Krause",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynden, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; 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.