Jacquelin Kae, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

26924 Issued in WA

Practice address

3633 Pacific Ave
Suite 204
Tacoma, WA 98418-7900

Phone

(253) 274-1668

NPI assigned

Mar 2, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Forest Country Anesthesia, P.C.

  • Anesthesiology Physician
  • Flagstaff, AZ
  • NPI 1700824406
  NPD (past)

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1992772412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 PACIFIC AVE",
            "address_2": "SUITE 204",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984187900",
            "telephone_number": "253-274-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 PACIFIC AVE",
            "address_2": "SUITE 204",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984187900",
            "telephone_number": "253-274-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAE",
        "first_name": "JACQUELIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "26924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8407462",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamila Kadir
• Molly Kadlec, OTR/L
• Carey Yuri Kadohiro
• Faith Kadoshima
• Mark F Kadoshima, DDS
• Susan Miye Kaeka, P.T.
• Kelly Ellen Kafka, M.D.
• Navyamani Venkata Durga Kagita, MD
• Robert A. Kahle, M.D.
• Audry Jean Kahlstrom, ARNP

• Anesthesiology Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Anesthesiology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.