KIMBERLY EDAN MD
NPI 1407599335
Student in an Organized Health Care Education/Training Program in Seattle, WA

Q: What is Kimberly Edan's NPI number?

The NPI number for Kimberly Edan is 1407599335. It was assigned to this individual provider in the NPPES registry on April 19, 2022.

Q: What is Kimberly Edan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Edan was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since April 19, 2022PECOS Enrolled

850 REPUBLICAN ST # 358047, SEATTLE, WA 98109(206) 221-1452 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2025, Jul 8, 2022, Apr 19, 2022 (3 updates tracked since 2022).

On this page

About Kimberly Edan Md NPPES

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

KIMBERLY EDAN MD (NPI 1407599335) is an individual student in an organized health care education/training program in Seattle, Washington and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407599335

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKIMBERLY EDANCredential: MD

Location Address850 REPUBLICAN ST # 358047Seattle, WA 98109-4725

Mailing Address850 Republican St # 358047Seattle, WA 98109-4725

Phone(206) 221-1452

Sole ProprietorYes

Enumeration DateApril 19, 2022

Last NPPES UpdateJuly 7, 20253 updates tracked since enumeration

NPPES CertifiedJuly 7, 2025

✔ NPI 1407599335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedPediatricsTaxonomy 208000000X · License LL87588 (SC), MDRE.ML.70005485 (WA)

850 REPUBLICAN ST # 358047, Seattle, WA 98109

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Edan 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.

AMALIE ALVER MD

Student in an Organized Health Care Education/Training Program