KADRA SHIRE
NPI 1417650912
Nurse Practitioner - Psychiatric/Mental Health in Burien, WA

Q: What is Kadra Shire's NPI number?

The NPI number for Kadra Shire is 1417650912. It was assigned to this individual provider in the NPPES registry on March 23, 2023.

Q: What is Kadra Shire's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Kadra Shire was last updated on June 26, 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 March 23, 2023PECOS EnrolledAccepts Medicare Assignment

1033 SW 152ND ST, BURIEN, WA 98166(206) 859-8105 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 26, 2025, Jun 21, 2024, Mar 23, 2023 (3 updates tracked since 2023).

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About Kadra Shire NPPES

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

KADRA SHIRE (NPI 1417650912) is an individual psychiatric/mental health provider in Burien, Washington, licensed in Washington (AP61613999) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1417650912

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKADRA SHIRE

Location Address1033 SW 152ND STBurien, WA 98166-1845

Mailing Address325 W Gowe StKent, WA 98032-5892 · (206) 859-8105

Phone(206) 859-8105

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateMarch 23, 2023

Last NPPES UpdateJune 26, 20253 updates tracked since enumeration

NPPES CertifiedJune 26, 2025

✔ NPI 1417650912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in WA · AP61613999

1033 SW 152ND ST, Burien, WA 98166

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kadra Shire 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.

PECOS PAC ID5395241210

PECOS Enrollment IDI20250930003638

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98166 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$97.43 typical visit price

range $63.67 – $189.37

Typical copayment $24.35 (range $15.91 – $47.34)

Most-billed visit code 99203

Established Patient

$111.00 typical visit price

range $21.12 – $155.00

Typical copayment $27.75 (range $5.28 – $38.75)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

AIMEE MARIE EVEATT

Counselor (Mental Health)