KIMBERLY WYNNE BRASWELL (MA MFT, LMFT) – Marriage & Family Therapist, NPI 1750310165

KIMBERLY WYNNE BRASWELL (MA MFT, LMFT) is a healthcare provider. based in Renton, Washington. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials MA MFT, LMFT. They hold a License No. LF00001828 (WA). The NPI Number for KIMBERLY WYNNE BRASWELL (MA MFT, LMFT) is 1750310165

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY WYNNE BRASWELL (MA MFT, LMFT)
NPI
1750310165
Phone
(800) 287-2680
Address
1200 SW 27th St
Enumeration Date
30 June 2006
Last Update Date
11 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4252352800
Graduation Year
1996 (30 years ago)
PAC ID
0547613564
Group Practice PAC ID
9032022579
Professional Enrollment ID
I20240125004368
Address ID
WA980564030RE275XXNEXX400

Contacts

SOAP Endpoint
https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

246 MARRIAGE AND FAMILY THERAPIST in WA

Provider Addresses for KIMBERLY WYNNE BRASWELL (MA MFT, LMFT)

  • 1200 SW 27th St

    Renton, WA 980572603

    Phone: (800) 287-2680

    Type: Location

  • 9881, Bridgeport Way Southwest, Lakewood Plaza Apartments, Lakewood, Pierce County, Washington, 98499, United States

    SUITE B

    LAKEWOOD, WA 984996124

    Phone: (253) 589-1611

    Fax: (253) 589-1544

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240125004368IMarriage And Family TherapistWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98057)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032022579View full group profile

Reviews

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Frequently asked questions

Where can patients find KIMBERLY WYNNE BRASWELL (MA MFT, LMFT)'s NPI?
You can confirm KIMBERLY WYNNE BRASWELL (MA MFT, LMFT) with NPI 1750310165; it appears in the national provider directory.
Is KIMBERLY WYNNE BRASWELL (MA MFT, LMFT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does KIMBERLY WYNNE BRASWELL (MA MFT, LMFT) work in?
You can think of KIMBERLY WYNNE BRASWELL (MA MFT, LMFT) as practicing within Marriage & Family Therapist. Clinical services aligned with this taxonomy classification.
Where is KIMBERLY WYNNE BRASWELL (MA MFT, LMFT)'s primary listing?
We display Renton, Washington because that is what the record indicates for KIMBERLY WYNNE BRASWELL (MA MFT, LMFT).
Is KIMBERLY WYNNE BRASWELL (MA MFT, LMFT) a real provider?
This page reflects official NPPES data for NPI 1750310165. Always confirm identity and privileges with the practice and licensing boards.

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