Individual provider Active NPI

Kathleen Mary Tonti-Horne, M.D.

  • Family Medicine Physician
  • Spokane, WA
National Provider Identifier
1902829245
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD61276666 Issued in WA
Practice address
307 W 6TH Ave
Spokane, WA 99204-2539
Phone
(833) 411-5469
Fax
(855) 411-5469
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD61276666 WA Primary

Addresses

Primary practice location

307 W 6TH Ave
Spokane, WA 99204-2539

Mailing address

307 W 6TH Ave
Spokane, WA 99204-2539
Phone (833) 411-5469

Other practice location 1

21800 Market Pl NW Ste 104
Poulsbo, WA 98370-6667
Phone (833) 411-5469

Other practice location 2

355 Abbott St
100
Salinas, CA 93901-4483
Phone (831) 751-7070

Other identifiers 1

IdentifierTypeStateIssuer
FHC70127FMedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220812000778 WA Practitioner - Family Practice 3476535626 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD61276666WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
600 Stewart Medical Group, P.C. CurrentSince Jun 30, 2022 Accepting new patients
Sand Plastic Surgery, PLLC PastSince Nov 10, 2024 Accepting new patients
Salinas Valley Primecare Medical Group Inc Past Accepting new patients
Monterey County Behavioral Health Division Past Accepting new patients
County of Monterey Past Accepting new patients

Locations

21800 Market Pl NW
Ste 104
Poulsbo, WA 98370

600 Stewart St
Ste 800
Seattle, WA 98101
Phone (206) 690-5962

9001 N Country Homes Blvd
Ste 101
Spokane, WA 99218

2706 W Nob Hill Blvd
Ste 100
Yakima, WA 98902
Phone (206) 848-7500

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1902829245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 W 6TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042539",
            "telephone_number": "833-411-5469",
            "fax_number": "855-411-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 W 6TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042539",
            "telephone_number": "833-411-5469",
            "fax_number": "855-411-5469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21800 Market Pl NW Ste 104",
            "address_purpose": "LOCATION",
            "city": "Poulsbo",
            "state": "WA",
            "postal_code": "983706667",
            "country_code": "US",
            "telephone_number": "833-411-5469",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "355 Abbott St",
            "address_2": "100",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "939014483",
            "country_code": "US",
            "telephone_number": "831-751-7070",
            "fax_number": "831-751-7050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TONTI-HORNE",
        "first_name": "KATHLEEN",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD61276666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC70127F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.