Provider Demographics
NPI:1053399923
Name:HUME, KATE (ARNP)
Entity type:Individual
Prefix:MS
First Name:KATE
Middle Name:
Last Name:HUME
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:NORMA
Other - Middle Name:TERESE
Other - Last Name:ALBANESE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4526 FEDERAL AVE
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98203-2132
Mailing Address - Country:US
Mailing Address - Phone:425-349-6200
Mailing Address - Fax:425-349-8340
Practice Address - Street 1:4526 FEDERAL AVE
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98203-2132
Practice Address - Country:US
Practice Address - Phone:425-349-6200
Practice Address - Fax:425-349-8340
Is Sole Proprietor?:No
Enumeration Date:2006-01-02
Last Update Date:2019-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000007583363LP0808X
WAAP60938579363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAP60938579OtherWA DEPT OF HEALTH
TN3345662Medicaid
TN3345662Medicaid