Active NPI
Kathryn Gail Koelemay, MD
- Pediatrics Physician
- Seattle, WA
National Provider Identifier
1922384411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD 00028389
- Practice address
- 401 5TH Ave Ste 900
Seattle, WA 98104-1818 - Phone
- (206) 263-8188
- Fax
- (206) 296-4803
- NPI assigned
- Oct 27, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD 00028389 | WA | Primary |
Addresses
Primary practice location
401 5TH Ave Ste 900
Seattle, WA 98104-1818
Mailing address
851 80TH Ave NE
Medina, WA 98039-4743
Phone (206) 263-8188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 00028389 | WA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319673600000",
"number": "1922384411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "851 80TH AVE NE",
"city": "MEDINA",
"state": "WA",
"postal_code": "980394743",
"telephone_number": "206-263-8188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 5TH AVE STE 900",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981041818",
"telephone_number": "206-263-8188",
"fax_number": "206-296-4803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOELEMAY",
"first_name": "KATHRYN",
"middle_name": "GAIL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-27",
"last_updated": "2011-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "MD 00028389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.