Individual provider Active NPI

Kathryn Colleen Zambrana, LMP

  • Specialist
  • Olympia, WA
National Provider Identifier
1871625152
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA00010187 Issued in WA
Practice address
634 113TH Ave SW # B
Olympia, WA 98512-9157
Phone
(360) 701-6454
Fax
(360) 867-4179
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA00010187 WA Primary

Addresses

Primary practice location

634 113TH Ave SW # B
Olympia, WA 98512-9157

Mailing address

PO Box 11935
Olympia, WA 98508-1935
Phone (360) 701-6454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA00010187WAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871625152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11935",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985081935",
            "telephone_number": "360-701-6454",
            "fax_number": "360-867-4179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 113TH AVE SW # B",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985129157",
            "telephone_number": "360-701-6454",
            "fax_number": "360-867-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMBRANA",
        "first_name": "KATHRYN",
        "middle_name": "COLLEEN",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00010187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.