Organization Active NPI

K-Nation Group

  • Case Management Agency
  • Tacoma, WA
National Provider Identifier
1912688987
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
K-NATION GROUP
Practice address
2367 Tacoma Ave S # 1016
Tacoma, WA 98402-1409
Phone
(618) 691-8352
NPI assigned
Jul 31, 2023
Last updated
Aug 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Authorized official

Name
Mrs. Kimberly Crumble, MHA
Title
Coo
Phone
(618) 691-8352

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X NU
Case Management Agency 251B00000X NU Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Community Health Worker 172V00000X NU
Case Manager/Care Coordinator 171M00000X NU
Community/Behavioral Health Agency 251S00000X NU
Health Educator 174H00000X NU
Prevention Professional 405300000X NU

Addresses

Primary practice location

2367 Tacoma Ave S # 1016
Tacoma, WA 98402-1409

Mailing address

2367 Tacoma Ave S # 1016
Tacoma, WA 98402-1409
Phone (618) 692-8352

National Provider Directory

National Provider Directory
Tax ID family
K-Nation Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2367 Tacoma Ave S
#1016
Tacoma, WA 98402
Phone (618) 691-8352

NPI Registry JSON

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1912688987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2367 TACOMA AVE S # 1016",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984021409",
            "telephone_number": "618-692-8352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2367 TACOMA AVE S # 1016",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984021409",
            "telephone_number": "618-691-8352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K-NATION GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "CRUMBLE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "618-691-8352",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.