Doctor profile · Federal record
Dr. Jacky Kingsada, NP
Family Nurse Practitioner (CMS: Nurse Practitioner) · Issaquah, WA
- NPI 1538867882
- Accepts Medicare
- 3 yrs in practice
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
195 Ne Gilman Blvd Ste 200
Issaquah, WA 980272940
(253) 204-9386 - Mailing address
-
314 8Th Ave N
Algona, WA 980014305
Credentials & registration
- NPI registered
- February 2023 — 3 yrs on file
- Profile last updated
- February 18, 2023
- Year of graduation
- 2023 — 3 yrs since
- Specialty taxonomy
- 363LF0000X — NUCC code
- State license (1)
- Washington #AP61412255
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1538867882. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$21
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ABBVIE INC. | 1 | $20.73 |
By nature of payment
Frequently asked questions
What is Dr. Jacky Kingsada's medical specialty?
Dr. Jacky Kingsada practices Family Nurse Practitioner in Issaquah, WA.
Where does Dr. Jacky Kingsada practice?
Dr. Jacky Kingsada practices at 195 Ne Gilman Blvd Ste 200, Issaquah, WA 980272940. Office phone: 2532049386.
What is Dr. Jacky Kingsada's NPI?
Dr. Jacky Kingsada's National Provider Identifier (NPI) is 1538867882, issued by NPPES.
Does Dr. Jacky Kingsada accept Medicare assignment?
Yes. Dr. Jacky Kingsada accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.