Active NPI
Kathryn Lynne Gibson, ND
- Family Medicine Physician
- Peshastin, WA
National Provider Identifier
1952870693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- NT60907127
- Practice address
- 10090 Main St Apt H
Peshastin, WA 98847-9770 - Phone
- (509) 881-0722
- NPI assigned
- Nov 23, 2018
- Last updated
- Jul 27, 2019
- 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 |
|---|---|---|---|---|
| Naturopath | 175F00000X | NT60907127 | WA | |
| Family Medicine Physician | 207Q00000X | NT60907127 | WA | Primary |
Addresses
Primary practice location
10090 Main St Apt H
Peshastin, WA 98847-9770
Mailing address
10090 Main St Apt H
Peshastin, WA 98847-9770
Phone (509) 881-0722
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NT60907127 | WA | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leavenworth Family Medicine | Naturopath | Current | Accepting new patients |
Locations
10090 Main St
Apt H
Peshastin, WA 98847
Phone (509) 676-6009
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564185600000",
"number": "1952870693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10090 MAIN ST APT H",
"city": "PESHASTIN",
"state": "WA",
"postal_code": "988479770",
"telephone_number": "509-881-0722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10090 MAIN ST APT H",
"city": "PESHASTIN",
"state": "WA",
"postal_code": "988479770",
"telephone_number": "509-881-0722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "KATHRYN",
"middle_name": "LYNNE",
"name_prefix": "Dr.",
"credential": "ND",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-23",
"last_updated": "2019-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "WA",
"license": "NT60907127",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "NT60907127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peshastin, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.