KATHERINE BIBB LIESEMER M.D.
NPI 1952512683
Pediatrics - Pediatric Critical Care Medicine in Tacoma, WA

Q: What is Katherine Liesemer's NPI number?

The NPI number for Katherine Liesemer is 1952512683. It was assigned to this individual provider in the NPPES registry on May 24, 2007. The provider is also known as Katherine Bibb Benton M.D..

Q: What is Katherine Liesemer's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Active since May 24, 2007PECOS Enrolled

9040 JACKSON AVE, TACOMA, WA 98431(253) 968-5090(253) 968-1618 Get Directions Write a Review

NPPES record last updated: April 4, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Apr 4, 2026, Dec 9, 2024, Jan 6, 2022 (3 updates tracked since 2022).

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About Katherine Bibb Liesemer M.d. NPPES

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

KATHERINE BIBB LIESEMER M.D. (NPI 1952512683) is an individual pediatric critical care medicine provider in Tacoma, Washington, licensed in Washington (MD60277286) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952512683

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameKATHERINE BIBB LIESEMERCredential: M.D.

Location Address9040 JACKSON AVETacoma, WA 98431-0001

Mailing AddressMadigan Army Medical Ctr, Bldg 9040 Fitzsimmons DrTacoma, WA 98431-0001 · (253) 968-5090 · Fax (253) 968-1618

Phone(253) 968-5090

Fax(253) 968-1618

Sole ProprietorYes

Enumeration DateMay 24, 2007

Last NPPES UpdateApril 4, 20263 updates tracked since enumeration

NPPES CertifiedApril 4, 2026

✔ NPI 1952512683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

Licenses✔ Licensed in WA · MD60277286✔ Licensed in UT · 7030213-1205

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License MD60277286 (WA), 7030213 (UT)

Also ListedGeneral PracticeTaxonomy 208D00000X · License 58945 (GA)

9040 JACKSON AVE, Tacoma, WA 98431

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Other Names 1

Former Name (1)Katherine Bibb Benton M.d.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Bibb Liesemer M.d. 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.

MICHAEL JOHN MEANS CRNA

Nurse Anesthetist, Certified Registered