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NPISignal

Individual Healthcare Provider

Kassidy Noelle Brugman, PA-C

NPI Record: ActivePhysician Assistant
NPI1336800168
Battle Ground, Washington

Provider's NPPES record last updated: June 16, 2025

Overview

Entity Type
Individual Healthcare Provider
NPI
1336800168
Primary Specialty
Physician Assistant
Practice Location
Battle Ground, Washington
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 6:40 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Physician Assistant

    Physician Assistants & Advanced Practice Nursing Providers

    Primary

    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

    Taxonomy code 363A00000X
  • Nurse's Aide

    Nursing Service Related Providers

    (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.

    Taxonomy code 376K00000X
  • Technician, Pathology

    Phlebotomy

    Technologists, Technicians & Other Technical Service Providers

    Definition to come...

    Taxonomy code 246RP1900X

Provider-Reported License Information

Physician Assistant (Washington)
PA.PA.61689173
Nurse's Aide (Washington)
NC60791384
Technician, Pathology (Washington)
PC61239792
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

101 Nw 12th Ave Ste 107

Battle Ground, Washington 98604-9141

Phone: (360) 723-0528

Record Information

Enumeration Date
January 4, 2022
Provider's NPPES Record Last Updated
June 16, 2025
Certification Date
June 16, 2025
NPISignal NPPES Dataset
August 2026

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