Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Nicole Prevo Kageyama, MD

Individual provider Dermatopathology Physician · NPI 1407858665

Mrs. Nicole Prevo Kageyama, MD is a Dermatology in Renton, Washington. Graduated from University of Hawaii John A. Burns School of Medicine in 1998, 28 years ago. Licensed in Washington.

Years since qualifying
28
Trained at
University of Hawaii John A. Burns School of Medicine
Licensed in
WA
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1412 SW 43rd St Ste 205
Renton, WA 98057-4803
Phone: (425) 264-0660
Fax: (425) 264-0601
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence MD00046078 (WA)
Dermatopathology Physician Taxonomy 207ND0900X · Licence MD00046078 (WA)

Record details

NPI number1407858665
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 1, 2005
Last updated in NPPESSeptember 7, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Also practisesPATHOLOGY
Medical schoolUNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Not indicated