Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1134693856 Individual Practitioner Male Practitioner

Kimo Martin , AAC

Peer Specialist • Redmond, WA

Professional Overview & Biography Verified Profile Summary

Kimo Martin, AAC is a registered healthcare professional specializing in Peer Specialist in Redmond, WA. Practice services are available at 16225 NE 87TH ST STE 160 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

16225 Ne 87th St Ste 160

Redmond, WA 980523536

Telephone 2067979080
Associated Practice Facility / Clinic
🏢 Sound Facility NPI 1780774950

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Redmond, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
18 Specialists

Practicing in Redmond, WA (2660 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

CMS Verified: 2025-11-17
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
457632614 (WA)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Tamiim Kamali

Counselor

NPI 1013569409
Ricardo Bass

Peer Specialist

NPI 1013748433
Paul Weaver , CPC

Peer Specialist

NPI 1023909355
Tabitha Clairmont

Peer Specialist

NPI 1033097233
Yiran Wang

Counselor

NPI 1033910963
NPI 1063218717

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location November 17, 2025

Registered at 16225 NE 87TH ST STE 160, REDMOND, WA 980523536 (Tel: 2067979080)

📍
Updated Business Mailing Address November 17, 2025

Registered at 6400 SOUTHCENTER BLVD, TUKWILA, WA 981882547 (Tel: 2069012000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2025

Peer Specialist

📍
Updated Practice Location August 27, 2025

Registered at 2212 S JACKSON ST, SEATTLE, WA 981442591 (Tel: 2063222387)

📍
Updated Business Mailing Address August 27, 2025

Registered at 2212 S JACKSON ST, SEATTLE, WA 981442591 (Tel: 2063222387)

👤
Provider Name / Credentials Updated August 27, 2025

Recorded as KIMO MARTIN, AAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2025

Counselor

NPI Profile Active January 15, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location January 15, 2019

Registered at 1600 LANE ST, SEATTLE, WA 98144 (Tel: 2066822371)

📍
Updated Business Mailing Address January 15, 2019

Registered at 1600 LANE ST, SEATTLE, WA 98144 (Tel: 2066822371)

👤
Provider Name / Credentials Updated January 15, 2019

Recorded as KIMO MARTIN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2019

Peer Specialist (License #CG60917667 in WA)

🟢
Initial NPI Registration & Enumeration January 15, 2019

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: 1134693856
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 15, 2019
Last Update: November 17, 2025
Sole Proprietor: Yes

Mailing Address

6400 Southcenter Blvd

Tukwila, WA 981882547

Phone: 2069012000

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.