Individual provider Active NPI

Kathleen Kelly Cohen, D.O.

  • Family Medicine Physician
  • Grand Coulee, WA
National Provider Identifier
1922489343
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OP61045410 Issued in WA
Practice address
411 Fortuyn Rd
Grand Coulee, WA 99133-8718
Phone
(509) 633-1753
NPI assigned
Jun 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X TP791 KY
Family Medicine Physician 207Q00000X OP61045410 WA Primary

Addresses

Primary practice location

411 Fortuyn Rd
Grand Coulee, WA 99133-8718

Mailing address

PO Box 909
Louisville, KY 40201-0909
Phone (502) 588-0330

Other practice location 1

10300 SW 216th St
Cutler Bay, FL 33190-1003
Phone (305) 253-5102

Other practice location 2

530 S Jackson St
Louisville, KY 40202-1675
Phone (028) 525-8755

Other names 1

  • Kathleen Kelly Haight Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TX, KY, IN4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20230124002343 WA Practitioner - Osteopathic Manipulative Medicine 2264726264 Reassigns benefits to 3 organizations
I20230705000666 TX Practitioner - Family Practice 2264726264 Reassigns benefits to 2 organizations
I20231012002467 KY Practitioner - Family Practice 2264726264 Reassigns benefits to 1 organization
I20250818000539 IN Practitioner - Hospitalist 2264726264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Albany Hospitalist Group LLCGroup PAC ID 4880041409, 69 clinicians

Practice addresses (Care Compare)

1850 State St
New Albany, IN 47150-4990
Phone (812) 944-7701

Hospital & facility affiliations

  • Baptist Health Floyd Hospital, New Albany, IN, CCN 150044

Merit-based Incentive Payment System (MIPS)

Final score
90.34 of 100Reported as apm
Quality
69.25
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100Reported as group
Quality
56.12
Promoting interoperability
100
Improvement activities
40
Cost
73.73

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TP791KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Albany Hospitalist Group, LLC CurrentSince Aug 1, 2025 Accepting new patients
DHHS IHS Phoenix Area Family Medicine CurrentSince May 2, 2024 Accepting new patients
University of Louisville Physicians, Inc. Family Medicine Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Sep 27, 2023 Accepting new patients
Northwest Hospital Medicine Physicians LLC CurrentSince Jan 1, 2023 Accepting new patients
Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 Family Medicine CurrentSince Mar 23, 2025 Accepting new patients
Bristol Bay Area Health Corporation CurrentSince Jun 6, 2023 Accepting new patients
Bristol Bay Area Health Corporation Family Medicine CurrentSince Jun 6, 2023 Accepting new patients
Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 CurrentSince Mar 23, 2025 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Sep 27, 2023 Accepting new patients
Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 Past Accepting new patients
Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 Past Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468

7752 Solution Ctr
Chicago, IL 60677

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

411 Fortuyn Rd
Grand Coulee, WA 99133
Phone (509) 633-1753

3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000

Organizations & group practices 14

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 14

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1922489343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909",
            "telephone_number": "502-588-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 FORTUYN RD",
            "city": "GRAND COULEE",
            "state": "WA",
            "postal_code": "991338718",
            "telephone_number": "509-633-1753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10300 SW 216th St",
            "address_purpose": "LOCATION",
            "city": "Cutler Bay",
            "state": "FL",
            "postal_code": "331901003",
            "country_code": "US",
            "telephone_number": "305-253-5102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530 S Jackson St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021675",
            "country_code": "US",
            "telephone_number": "028-525-8755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COHEN",
        "first_name": "KATHLEEN",
        "middle_name": "KELLY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-11",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "TP791",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP61045410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "HAIGHT",
            "middle_name": "KELLY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Coulee, WA

Sources for this page

Verify at the official NPI Registry.