Katherine Dodge, MSN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AP61362728 Issued in WA

Practice address

4686 Pointes Dr
Mukilteo, WA 98275-6038

Phone

(425) 405-8089

NPI assigned

Aug 31, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Novari Primary Care LLCGroup PAC ID 3476815051, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Assured Home Health Home health agency, Mountlake Terrace, WA, CCN 507099
• Evergreenhealth Home Care Services Home health agency, Kirkland, WA, CCN 507079
• Providence at Home With Compassus, Snohomish County Home health agency, Everett, WA, CCN 507065
• Alpha Home Health Home health agency, Everett, WA, CCN 507107

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: katherine.dodge.1@33925.direct.athenahealth.com

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.

• Novari Primary Care LLC

  • Nurse Practitioner
  • Mukilteo, WA
  • NPI 1598272155

  Adult Health

  Medicare reassignment Care Compare group NPD

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

• CP Snohomish County Wa, LLC

  • Home Health Agency
  • Everett, WA
  • NPI 1720800857
  Care Compare affiliation
• Glacier Peak Healthcare, Inc.

  • Home Health Agency
  • Everett, WA
  • NPI 1518482215
  Care Compare affiliation
• King County Public Hospital District No. 2

  • Home Health Agency
  • Kirkland, WA
  • NPI 1588662761
  Care Compare affiliation
• LHCG Lxiii, LLC

  • Home Health Agency
  • Mountlake Terrace, WA
  • NPI 1770998528
  Care Compare affiliation

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1972223733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 1ST AVE APT 2507",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012158",
            "telephone_number": "714-326-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4686 POINTES DR",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982756038",
            "telephone_number": "425-405-8089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODGE",
        "first_name": "KATHERINE",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60925290",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP61362728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen Delacruz, MD
• Jared Dell, LPN
• Alyssa Kayle Derrick, L.M.P.
• Deshael Mental Health Services PLLC
• Megan Rey Devlin
• Monica Donoghue Shallow
• Katherine Doughty, MS, MPH, RD, IBCLC
• Erik Wayne Dowell
• Daniel Andrew Dowling, ND
• Dr Susan Cotter & Associates PC

• Adult Health Nurse Practitioner in Mukilteo, WA
• Providers in Mukilteo, WA by specialty
• Adult Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.

Verify at the official NPI Registry.