Active NPI
Kathleen Kelly Cohen, D.O.
- Family Medicine Physician
- Grand Coulee, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OP61045410
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, TX, KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1850 State St
New Albany, IN 47150-4990
Phone (812) 944-7701
Hospital & facility affiliations
- Baptist Health Floyd
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.34 of 100
- Quality
- 69.25
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.96 of 100
- Quality
- 56.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.73
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| TP791 | KY | MD | Family Medicine Physician |
Practice roles
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.
-
- Hospitalist Physician
- New Albany, IN
- NPI 1255084752
-
- Critical Access Hospital
- Grand Coulee, WA
- NPI 1184844185
-
- Family Medicine Physician
- Grand Coulee, WA
- NPI 1265422935
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1366722316
Family Medicine
-
- Medicare Defined Swing Bed Hospital Unit
- Grand Coulee, WA
- NPI 1699851840
-
- Medicare Defined Swing Bed Hospital Unit
- Dillingham, AK
- NPI 1770645202
-
- Family Medicine Physician
- Dillingham, AK
- NPI 1972702025
-
- Diagnostic Radiology Physician
- Louisville, KY
- NPI 1316294127
-
- Emergency Medicine Physician
- Louisville, KY
- NPI 1871840686
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Albany, IN
- NPI 1497798847
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
- Samantha B Brunner, PA-C
- Andrew Cecil Castrodale, MD
- Jacob Petersen Chaffee, MD
- Cheney Owl Pharmacy Inc
- City of Grand Coulee
- Dee Deife, BA
- Charlene Marie Desautel, PT
- Douglas, Grant, Lincolc and Okanogan Couties Public Hosp. Dist. #6
- Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6
- Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.