KATHLEEN E. TUBRIDY MD – NPI #1124258876
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

KATHLEEN TUBRIDY is a physician located in BOTHELL, WA. NPPES has assigned the NPI number 1124258876 to KATHLEEN TUBRIDY on July 15, 2009. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Jan 10, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KATHLEEN TUBRIDY below.

NPI Profile for
KATHLEEN E. TUBRIDY

NPI Number
1124258876
Enumeration Date

(about 17 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
KATHLEEN E. TUBRIDY
Credentials
MD
Primary location
10414 BEARDSLEE BLVD STE 100
BOTHELL, WA 98011-3205
Phone: (425) 486-0658 Fax: (425) 487-6761
2 Other location(s):
4410 106th St SW
Mukilteo, WA 98275-4700
Phone: (425) 259-0966
12721 30th Ave NE Ste 101
Seattle, WA 98125-4498
Phone: (206) 417-0326
Fax: (206) 417-0783
Mailing address
955 POWELL AVE SW
RENTON, WA 98057-2908
Phone: (425) 277-1311 Fax: (425) 277-1566
Sole Proprietor
No
Updated
Certification Date
Jan 10, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for KATHLEEN TUBRIDY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidWA1124258876
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
CO DR.0052409

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
TUFTS UNIVERSITY SCHOOL OF MEDICINE - Graduated 2009
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.