Individual provider Active NPI

Kathryn Lynn McNeil, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1902859903
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP4639 Issued in AZ
Practice address
101 Elliott Ave W Ste 500
Seattle, WA 98119-4292
Phone
(425) 615-6266
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 19610 CA
Family Nurse Practitioner 363LF0000X AP1080 AZ
Family Nurse Practitioner 363LF0000X APN000885 NV
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61406667 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP4639 AZ Primary

Addresses

Primary practice location

101 Elliott Ave W Ste 500
Seattle, WA 98119-4292

Mailing address

5210 E Pima St Ste 200
Tucson, AZ 85712-3678
Phone (520) 975-1557

Other practice location 1

5210 E Pima St
Tucson, AZ 85712-3664
Phone (520) 353-3309

Other practice location 2

75 N Garden Ave
Sierra Vista, AZ 85635-3805
Phone (520) 459-9929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AZ, OR, WA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20080908000484 NV Practitioner - Nurse Practitioner 7618043043 Reassigns benefits to 1 organization
I20081006000354 AZ Practitioner - Nurse Practitioner 7618043043 Reassigns benefits to 4 organizations
I20200702001442 OR Practitioner - Nurse Practitioner 7618043043 Reassigns benefits to 1 organization
I20230427002980 WA Practitioner - Nurse Practitioner 7618043043 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP1080AZMDFamily Nurse Practitioner
19610CAMDFamily Nurse Practitioner
APN000885NVMDFamily Nurse Practitioner
AP4639AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Health and Wellness, Inc. Current Accepting new patients
Telecare Mental Health Services of Arizona Inc CurrentSince May 1, 2024 Accepting new patients
Affect Therapeutics Inc Psychiatric/Mental Health CurrentSince Mar 13, 2024 Accepting new patients
Northwest Allied Physicians, LLC CurrentSince Jan 1, 2022 Accepting new patients
Mindful Therapy Group PC Psychiatric/Mental Health CurrentSince Apr 24, 2023 Accepting new patients
Horizon Health and Wellness, Inc. CurrentSince Jul 13, 2018 Accepting new patients
Telecare Mental Health Services of Arizona, Inc CurrentSince May 1, 2024 Accepting new patients
Northwest Allied Physicians LLC Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Horizon Health and Wellness, Inc. CurrentSince Jul 13, 2018 Accepting new patients
Hospitalists of Arizona, Inc Internal Medicine Past Accepting new patients
Radar Medical Group LLP Internal Medicine Past Accepting new patients
Community Partners Integrated Healthcare, Inc. PastSince Sep 1, 2012 Accepting new patients
Affect Therapeutics, Inc. PastSince Mar 13, 2024 Accepting new patients
Inpatient Consultants of Nevada, Inc. a Medical Corporation Internal Medicine Past Accepting new patients
Horizon Health and Wellness, Inc. Past Accepting new patients
Horizon Health and Wellness, Inc. Psychiatric/Mental Health Past Accepting new patients

Locations

625 N Plaza Dr
Apache Junction, AZ 85120
Phone (480) 282-6278

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

5700 E Highway 90
Fl 4
Sierra Vista, AZ 85635
Phone (520) 263-3500

75 N Garden Ave
Sierra Vista, AZ 85635
Phone (520) 459-2229

8880 E Speedway Blvd
Ste 203
Tucson, AZ 85710
Phone (323) 601-0900

8333 N Silverbell Rd
Ste 161
Tucson, AZ 85743
Phone (520) 202-7770

1595 S 1st Ave
Yuma, AZ 85364
Phone (928) 329-5855

3180 E 40th St
Yuma, AZ 85365
Phone (928) 341-0335

1080 Marina Village Pkwy
Ste 100
Alameda, CA 94501
Phone (510) 306-5660

3550 Watt Ave
Ste 140
Sacramento, CA 95821
Phone (916) 804-4471

3620 N Rancho Dr
Ste 107
Las Vegas, NV 89130
Phone (702) 499-0379

1640 Boro Pl
Fl 4
Tysons, VA 22102
Phone (571) 440-1887

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698

101 Elliott Ave W
Ste 500
Seattle, WA 98119
Phone (206) 708-6432

320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113

1112 Daniels St
Bsmt
Vancouver, WA 98660

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1902859903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5210 E PIMA ST STE 200",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857123678",
            "telephone_number": "520-975-1557",
            "fax_number": "520-838-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ELLIOTT AVE W STE 500",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981194292",
            "telephone_number": "425-615-6266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5210 E Pima St",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857123664",
            "country_code": "US",
            "telephone_number": "520-353-3309",
            "fax_number": "520-838-0789",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 N Garden Ave",
            "address_purpose": "LOCATION",
            "city": "Sierra Vista",
            "state": "AZ",
            "postal_code": "856353805",
            "country_code": "US",
            "telephone_number": "520-459-9929",
            "fax_number": "520-777-0208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNEIL",
        "first_name": "KATHRYN",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "19610",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP1080",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APN000885",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61406667",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP4639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.