Active NPI
Margaret Johnston-Kitazawa, M.D.
- Family Medicine Physician
- Tacoma, WA
National Provider Identifier
1841220183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00019271
- Practice address
- 2209 E 32ND St
Tacoma, WA 98404-4922 - Phone
- (253) 593-0232
- Fax
- (253) 382-2091
- NPI assigned
- Jul 3, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00019271 | WA | Primary |
Addresses
Primary practice location
2209 E 32ND St
Tacoma, WA 98404-4922
Mailing address
PO Box 490
Pahala, HI 96777-0490
Phone (808) 895-1153
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0182526 | Other | WA | LABOR & INDUSTRIES |
| 8185407 | Medicaid | WA | |
| 1447JO | Other | WA | REGENCE |
Other names 1
- Dr. Margaret Kitazawa
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00019271 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Puyallup Tribal Health Authority | Current | Accepting new patients | |
| Puyallup Tribal Health Authority | Current | Accepting new patients | |
| Clinical Laboratories of Hawaii LLP | Past | Accepting new patients |
Locations
2209 E 32nd St
Tacoma, WA 98404
Phone (206) 593-0244
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
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.
-
- Primary Care Clinic/Center
- Tacoma, WA
- NPI 1063455665
-
- Adult Mental Health Clinic/Center
- Tacoma, WA
- NPI 1255378782
-
- Clinical Medical Laboratory
- Ewa Beach, HI
- NPI 1134195357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841220183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 490",
"city": "PAHALA",
"state": "HI",
"postal_code": "967770490",
"telephone_number": "808-895-1153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2209 E 32ND ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984044922",
"telephone_number": "253-593-0232",
"fax_number": "253-382-2091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON-KITAZAWA",
"first_name": "MARGARET",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00019271",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "0182526",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8185407",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "1447JO",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARGARET",
"last_name": "KITAZAWA",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.