NPIMap

Individual provider Active NPI

Winnet Katiyo, ARNP

  • Family Nurse Practitioner
  • Woodland, WA
National Provider Identifier
1992280796
Registry record updated Jan 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60909332 Issued in WA
Practice address
1251 Lewis River Rd Ste D
Woodland, WA 98674-9203
Phone
(360) 225-4310
Fax
(360) 225-4339
NPI assigned
Sep 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60909332 WA Primary

Addresses

Primary practice location

1251 Lewis River Rd Ste D
Woodland, WA 98674-9203

Mailing address

1207 W 15TH Ave
La Center, WA 98629-3166
Phone (919) 559-1002

Other practice location 1

1207 W 15th Ave
LA Center, WA 98629-3166
Phone (919) 559-1002

Other identifiers 1

IdentifierTypeStateIssuer
2120996MedicaidWA

Other names 1

  • Winnet K Tanner Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190212000920 WA Practitioner - Nurse Practitioner 8921346297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Cowlitz Family Health CenterGroup PAC ID 5991696395, 21 clinicians

Practice addresses (Care Compare)

300 Oak St B
Kelso, WA 98626-2304
Phone (360) 353-5511

Hospital & facility affiliations

  • Peacehealth Southwest Home Health Home health agency, Vancouver, WA, CCN 507064
  • Peacehealth St John Medical Center Hospital, Longview, WA, CCN 500041
  • Legacy Salmon Creek Medical Center Hospital, Vancouver, WA, CCN 500150

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60909332WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cowlitz Family Health Center CurrentSince Jan 16, 2019 Accepting new patients
Cowlitz Family Health Center CurrentSince Jan 16, 2019 Accepting new patients
Cowlitz Family Health Center Past Accepting new patients
Cowlitz Family Health Center Past Accepting new patients

Locations

300 Oak St
#B
Kelso, WA 98626
Phone (360) 353-5511

300 Oak St
Ste B
Kelso, WA 98626
Phone (360) 353-5511

1057 12th Ave
Longview, WA 98632
Phone (360) 636-3892

1251 Lewis River Rd
Ste D
Woodland, WA 98674
Phone (360) 225-4310

Interoperability endpoints

  • Direct secure messaging: wkatiyo263275@direct.ochin.org

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736640000000",
    "number": "1992280796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 W 15TH AVE",
            "city": "LA CENTER",
            "state": "WA",
            "postal_code": "986293166",
            "telephone_number": "919-559-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 LEWIS RIVER RD STE D",
            "city": "WOODLAND",
            "state": "WA",
            "postal_code": "986749203",
            "telephone_number": "360-225-4310",
            "fax_number": "360-225-4339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1207 W 15th Ave",
            "address_purpose": "LOCATION",
            "city": "LA Center",
            "state": "WA",
            "postal_code": "986293166",
            "country_code": "US",
            "telephone_number": "919-559-1002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATIYO",
        "first_name": "WINNET",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-27",
        "last_updated": "2025-01-12",
        "certification_date": "2025-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60909332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2120996",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WINNET",
            "last_name": "TANNER",
            "middle_name": "K",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Woodland, WA

Sources for this page

Verify at the official NPI Registry.