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Deactivated NPI 1073262499 Deactivated / Inactive NPI Male Practitioner

Kyle Packard

Registered Nurse • Federal Way, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kyle Packard has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 22, 2022
NPI Deactivation Date August 16, 2023
Total Practice Duration ~1 Years of Practice (2022 – 2023)

Professional Overview & Biography Verified Profile Summary

Kyle Packard was a registered Registered Nurse practicing in Federal Way, WA. Throughout an active medical career spanning 1 years, Kyle Packard provided care at the practice location at 33405 8TH AVE S UNIT 200 until profile deactivation on 2023-08-16.

Practice Location & Contact Primary Location

Practice Address

33405 8th Ave S Unit 200

Federal Way, WA 980036639

Telephone 2538337444
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Federal Way, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.0 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
96 Specialists

Practicing in Federal Way, WA (5817 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License WA RN60233511

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Janene Frost

Peer Specialist

NPI 1003460619
Anna Koback

Counselor

NPI 1003585225
Ryan Tackett

Counselor

NPI 1003647405
NPI 1003740440
Andrea John-Smith

Counselor - Mental Health

NPI 1003793944
Elizabeth Cotton , LMFT

Marriage & Family Therapist

NPI 1013135706

Licensed Marriage and Family Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 16, 2023

Record deactivated on August 16, 2023

NPI Profile Active March 22, 2022

NPI status registered as active in NPPES database

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Updated Practice Location March 22, 2022

Registered at 33405 8TH AVE S UNIT 200, FEDERAL WAY, WA 980036639 (Tel: 2538337444)

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Updated Business Mailing Address March 22, 2022

Registered at 325 W GOWE ST, KENT, WA 980325892 (Tel: 2538337444)

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Provider Name / Credentials Updated March 22, 2022

Recorded as KYLE PACKARD

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2022

Registered Nurse (License #RN60233511 in WA)

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Initial NPI Registration & Enumeration March 22, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073262499
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2022
Last Update: March 22, 2022
Deactivation Date: August 16, 2023

Mailing Address

325 W Gowe St

Kent, WA 980325892

Phone: 2538337444

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.