Individual provider Active NPI

Kenneth H Winslow, ARNP

  • Family Medicine Physician
  • Snoqualmie, WA
National Provider Identifier
1972543015
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
AP30006698 Issued in WA
Practice address
9575 Ethan Wade Way SE
Snoqualmie, WA 98065-9577
Phone
(425) 831-2300
Fax
(425) 831-2361
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X AP30006698 WA Primary

Addresses

Primary practice location

9575 Ethan Wade Way SE
Snoqualmie, WA 98065-9577

Mailing address

PO Box 2810
North Bend, WA 98045-2810
Phone (425) 831-0777

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050104000402 WA Practitioner - Nurse Practitioner 1759339088 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP30006698WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital District No. 4, King County Washington Past Accepting new patients
Public Hospital District No 4, King County Wa Family Medicine Past Accepting new patients
Pacific Palisades Podiatry PLLC Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1972543015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2810",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980452810",
            "telephone_number": "425-831-0777",
            "fax_number": "425-831-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9575 ETHAN WADE WAY SE",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980659577",
            "telephone_number": "425-831-2300",
            "fax_number": "425-831-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINSLOW",
        "first_name": "KENNETH",
        "middle_name": "H",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "AP30006698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snoqualmie, WA

Sources for this page

Verify at the official NPI Registry.