KELLY ANN HERBIG MD
NPI 1437905023
Student in an Organized Health Care Education/Training Program in Renton, WA

Q: What is Kelly Herbig's NPI number?

The NPI number for Kelly Herbig is 1437905023. It was assigned to this individual provider in the NPPES registry on April 25, 2024.

Q: What is Kelly Herbig'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 Kelly Herbig was last updated on April 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 25, 2024PECOS Enrolled

3915 TALBOT RD S STE 401, RENTON, WA 98055(425) 690-3445(425) 690-9445 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kelly Ann Herbig Md NPPES

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

KELLY ANN HERBIG MD (NPI 1437905023) is an individual student in an organized health care education/training program in Renton, Washington and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437905023

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKELLY ANN HERBIGCredential: MD

Location Address3915 TALBOT RD S STE 401Renton, WA 98055-5738

Mailing Address3915 Talbot Rd S Ste 401Renton, WA 98055-5738 · (425) 690-3445 · Fax (425) 690-9445

Phone(425) 690-3445

Fax(425) 690-9445

Sole ProprietorNo

Enumeration DateApril 25, 2024

NPPES CertifiedApril 25, 2024

✔ NPI 1437905023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

3915 TALBOT RD S STE 401, Renton, WA 98055

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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 (PECOS)

Kelly Ann Herbig 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. BRADFORD DEAHL GRANATH M.D.

Family Medicine