KATHLEEN RUTH DAVIS
NPI 1093469025
Social Worker - Clinical in Port Angeles, WA
About Kathleen Ruth Davis NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN RUTH DAVIS (NPI 1093469025) is an individual clinical provider in Port Angeles, Washington, licensed in Washington (LW61546770) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kathleen Ruth Davis is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kathleen Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Port Angeles, WA 98362
- Reassigned Medicare billing, Washington enrollment
- 35 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98362 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kathleen Davis's NPI number?
The NPI number for Kathleen Davis is 1093469025. It was assigned to this individual provider in the NPPES registry on February 8, 2022. The provider is also known as Kathleen Ruth Dickinson.
Where is Kathleen Davis located?
Kathleen Davis practices at 118 E 8th St, Port Angeles, WA 98362. The listed phone number is (360) 457-0431.
What is Kathleen Davis's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Kathleen Davis enrolled in Medicare?
Yes. Kathleen Davis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kathleen Davis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Davis reassigns Medicare benefits to Peninsula Behavioral Health (Port Angeles, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathleen Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kathleen Davis was last updated on December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kathleen Ruth Davis · NPI 1093469025
Clinical provider in Port Angeles, Washington. Individual provider, active in the CMS NPPES registry since February 8, 2022.
## Identity
- **NPI:** 1093469025 (Entity type: Individual)
- **Enumerated:** February 8, 2022
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** LW61546770 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 118 E 8TH ST, Port Angeles, WA 98362-6129
- **Phone:** (360) 457-0431 · **Fax:** (360) 457-0493
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Peninsula Behavioral Health (NPI 1760519060, Port Angeles, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** December 19, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1093469025) · Data from the CMS NPPES public registry.