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KYLY HIATT DO
NPI 1992644090
Student in an Organized Health Care Education/Training Program in Tacoma, WA

Active since March 25, 2026PECOS Enrolled
1717 S J ST # MS 01-125, TACOMA, WA 98405(253) 426-4101 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kyly Hiatt Do NPPES

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

KYLY HIATT DO (NPI 1992644090) is an individual student in an organized health care education/training program in Tacoma, Washington and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992644090
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKYLY HIATTCredential: DO
Location Address1717 S J ST # MS 01-125Tacoma, WA 98405-4933
Mailing Address1717 S J St # Ms 01-125Tacoma, WA 98405-4933
Phone(253) 426-4101
Sole ProprietorNo
Enumeration DateMarch 25, 2026
NPPES CertifiedMarch 25, 2026
✔ NPI 1992644090 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.
1717 S J ST # MS 01-125, Tacoma, WA 98405
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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)

Kyly Hiatt Do 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 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MYSHELLE WILLIAMS
Student in an Organized Health Care Education/Training Program
1717 S J ST # MS 01-125
TACOMA, WA 98405
Pierce County (509) 954-1243
KASEY JOHANNA JACKSON MD
Student in an Organized Health Care Education/Training Program
1717 S J ST # MS 01-125
TACOMA, WA 98405
Pierce County (253) 552-8690
KRYSTAL THAO NGUYEN DO
Student in an Organized Health Care Education/Training Program
1717 S J ST # MS 01-125
TACOMA, WA 98405
Pierce County (503) 553-9879
YORDANOS ELALA MD
Student in an Organized Health Care Education/Training Program
1717 S J ST # MS 01-125
TACOMA, WA 98405
Pierce County (253) 426-4101
DUNG MY DO DO
Student in an Organized Health Care Education/Training Program
1717 S J ST # MS 01-125
TACOMA, WA 98405
Pierce County (253) 552-8690
PARIA KARBASSI NAJAFABADI DO
Student in an Organized Health Care Education/Training Program
1717 S J ST # MS 01-125
TACOMA, WA 98405
Pierce County (253) 552-8690
JOSEPH PETERSON DO
Student in an Organized Health Care Education/Training Program
1717 S J ST # MS 01-125
TACOMA, WA 98405
Pierce County (253) 552-8690
BRIAN LU MD
Student in an Organized Health Care Education/Training Program
1717 S J ST # MS 01-125
TACOMA, WA 98405
Pierce County (808) 462-9936

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyly Hiatt's NPI number?

The NPI number for Kyly Hiatt is 1992644090. It was assigned to this individual provider in the NPPES registry on March 25, 2026.

Where is Kyly Hiatt located?

Kyly Hiatt practices at 1717 S J St # Ms 01-125, Tacoma, WA 98405. The listed phone number is (253) 426-4101.

What is Kyly Hiatt's specialty?

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

Is Kyly Hiatt enrolled in Medicare?

Yes. Kyly Hiatt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kyly Hiatt was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.