DR. KATHERINE KENNINGHAM MD
NPI 1043586969
Pediatrics - Neonatal-Perinatal Medicine in Tacoma, WA

Q: What is Katherine Kenningham's NPI number?

The NPI number for Katherine Kenningham is 1043586969. It was assigned to this individual provider in the NPPES registry on March 26, 2012.

Q: What is Katherine Kenningham's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Active since March 26, 2012PECOS Enrolled

315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405(253) 403-1000 Get Directions Write a Review

NPPES record last updated: October 27, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Katherine Kenningham Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KATHERINE KENNINGHAM MD (NPI 1043586969) is an individual neonatal-perinatal medicine provider in Tacoma, Washington, licensed in Washington (MD60564662) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043586969

Entity TypeIndividualFemale

Primary Taxonomy2080N0001X

Provider Legal NameDR. KATHERINE KENNINGHAMCredential: MD

Location Address315 MARTIN LUTHER KING JR WAYTacoma, WA 98405-4234

Mailing Address4909 42nd Ave NwGig Harbor, WA 98335-8160 · (206) 854-7350

Phone(253) 403-1000

Sole ProprietorNo

Enumeration DateMarch 26, 2012

Last NPPES UpdateOctober 27, 2021

NPPES CertifiedOctober 27, 2021

✔ NPI 1043586969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in WA · MD60564662

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Also ListedPediatricsTaxonomy 208000000X · License MD 60564662 (WA), 60292818 (WA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

315 MARTIN LUTHER KING JR WAY, Tacoma, WA 98405

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Katherine Kenningham Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JUSTIN CHA-CHENG NG MD

Emergency Medicine