Kimberly Dawn Kibby

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

License

RC60070991 Issued in WA

Practice address

3322 Broadway
Everett, WA 98201-4425

Phone

(425) 349-6877

NPI assigned

Mar 18, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237334400000",
    "number": "1912148172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14864 SE 50TH ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980063508",
            "telephone_number": "425-349-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 BROADWAY",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014425",
            "telephone_number": "425-349-6877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIBBY",
        "first_name": "KIMBERLY",
        "middle_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "WA",
            "license": "RC60070991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Maryam Khalili, ARNP
• Jampa Choezom Khamshitsang, CLINICIAN I
• Amna S Khan, MD
• Ousman Khan
• Rakesh Vijay Khanna, M.D.
• Kortnee Nichole Kica
• Emily Kidd
• Kidney and Arthritis Clinic P S
• Samwise Kiebel
• Alefu Riskey Kifle

• Pastoral Counselor in Everett, WA
• Providers in Everett, WA by specialty
• Pastoral Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; 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.