KATHY T KINDERMAN ARNP NPI 1730551201

Nurse Practitioner (Family) in Spokane, WA

Individual Female Nurse Practitioner Family PECOS Enrolled Accepts Medicare Years Experience 5

About KATHY KINDERMAN

Kathy Kinderman is a provider established in Spokane, Washington and her medical specialization is nurse practitioner with more than 5 years of experience. The NPI number of Kathy Kinderman is 1730551201 and was assigned on October 2015. The practitioner's primary taxonomy code is 363LF0000X with license number AP60593290 (WA). The provider is registered as an individual and her NPI record was last updated one year ago. Kathy Kinderman is enrolled in PECOS and is registered with Medicare and accepts claims assignment. According to Medicare claims data the provider has hospital affiliations with Providence Sacred Heart Medical Center.

NPI

1730551201

Provider Name KATHY T KINDERMAN ARNP
Provider Location Address32 W 2ND AVE SPOKANE, WA 99201
Provider Mailing AddressPO BOX 421 LIBERTY LAKE, WA 99019
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2015
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date10-23-2015
Last Update Date01-09-2019

Primary Taxonomy

Taxonomy Code363LF0000X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationFamily
License No.AP60593290
License StateWA

Business Address

KATHY T KINDERMAN ARNP
32 W 2ND AVE
SPOKANE, WA
ZIP 99201
Phone: (509) 626-9825
Fax: (509) 227-7070

Get Directions

Mailing Address

KATHY T KINDERMAN ARNP
PO BOX 421
LIBERTY LAKE, WA
ZIP 99019
Phone: (866) 747-2455

Secondary Locations

212 E Central Ave Ste 440
Spokane, WA 99208
(509) 252-9602
16528 E Desmet Ct Ste B3100
Spokane Valley, WA 99216
(509) 944-9440

Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare’s enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID1153624655
PECOS Enrollment IDI20160115001284
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affilition the clinician must have provided services to at least three patients on three different dates in the last 12 months.

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN)
PROVIDENCE SACRED HEART MEDICAL CENTER101 WEST 8TH AVENUE
SPOKANE, WA 99204
(509) 474-3040Acute Care Hospitals500054

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1043324106DR. CRAIG M. SMENTEK M.D.
Individual
Obstetrics & Gynecology32 W 2ND AVE
SPOKANE, WA 99201
(509) 626-9825
1932211083DR. SIMA GAIL ISSEN M.D.
Individual
Internal Medicine32 W 2ND AVE
SPOKANE, WA 99201
(509) 626-9825

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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