Kristy M Ziemke, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY60547876 Issued in WA

Practice address

6642 S 193Rd PL Ste N106
Kent, WA 98032-3109

Phone

(206) 909-7978

NPI assigned

Dec 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Kristy Ziemke PHD, PLLC

  • Psychologist
  • Kent, WA
  • NPI 1386241966
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1871654954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 88994",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981382994",
            "telephone_number": "435-770-8479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6642 S 193RD PL STE N106",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980323109",
            "telephone_number": "206-909-7978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIEMKE",
        "first_name": "KRISTY",
        "middle_name": "M",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00009278",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY60547876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2043785",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Xiahan Zhang, BCBA
• Xinjie Zheng
• Zhu Zhu
• Olha V Zhukovskiy, LMP
• Janice Zielonka, LMP
• Alexandra B Zigmont, DPT
• Erlenen Zimbelman, ARNP
• America Ziranda
• Stephen James Zografos, D.C.
• Amanda J Zorn, MD

• Psychologist in Kent, WA
• Providers in Kent, WA by specialty
• Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.