Individual provider Active NPI

Kristin Walters, ARNP

  • Gerontology Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1003222845
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP60486639 Issued in WA
Practice address
62 W 7TH Ave Ste 450
Spokane, WA 99204-2321
Phone
(509) 455-8820
Fax
(509) 838-4978
NPI assigned
Jul 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AP60486639 WA Primary

Addresses

Primary practice location

62 W 7TH Ave Ste 450
Spokane, WA 99204-2321

Mailing address

PO Box 31001-4114
Pasadena, CA 91110-0001
Phone (866) 747-2455

Other practice location 1

122 W 7th Ave
Suite 450
Spokane, WA 99204-2349
Phone (509) 455-8820

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kwalters645082@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140812001929 WA Practitioner - Nurse Practitioner 0446477640 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Health and Services WashingtonGroup PAC ID 8729258256, 53 clinicians

Practice addresses (Care Compare)

212 E Central Ave
Suite 240
Spokane, WA 99208-6597
Phone (509) 455-8820

62 W 7TH Ave
Spokane, WA 99204-2321

825 SE Bishop Blvd
Suite 140
Pullman, WA 99163-5517
Phone (509) 455-8820

Hospital & facility affiliations

  • Prov Sacred HRT Med Ctr & Childs Hosp. Hospital, Spokane, WA, CCN 500054
  • Whitman Hospital and Medical Center Hospital, Colfax, WA, CCN 501327
  • Providence Holy Family Hospital Hospital, Spokane, WA, CCN 500077
  • Providence Mount Carmel Hospital Hospital, Colville, WA, CCN 501326
  • Confluence Health Hospital Hospital, Wenatchee, WA, CCN 500016
  • Providence St Luke'S Rehabilitation Medical Center Inpatient rehabilitation facility, Spokane, WA, CCN 503025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Washington CurrentSince Sep 1, 2016 Accepting new patients
Inland Anesthesia Service CurrentSince Mar 15, 2024 Accepting new patients
Public Hospital District No 3 of Whitman County CurrentSince Sep 1, 2024 Accepting new patients
Whitman Medical Group PS Past Accepting new patients

Locations

1055 W Fairview St
#B
Colfax, WA 99111
Phone (509) 397-2675

1200 W Fairview St
Colfax, WA 99111
Phone (509) 397-3435

825 SE Bishop Blvd
Ste 140
Pullman, WA 99163
Phone (509) 334-4498

507 S Washington St
Ste 170
Spokane, WA 99204
Phone (509) 362-9653

62 W 7th Ave
Ste 450
Spokane, WA 99204

Interoperability endpoints

  • Direct secure messaging: kwalters645082@wm.providencedirect.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1003222845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31001-4114",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911100001",
            "telephone_number": "866-747-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 W 7TH AVE STE 450",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042321",
            "telephone_number": "509-455-8820",
            "fax_number": "509-838-4978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 W 7th Ave",
            "address_2": "Suite 450",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992042349",
            "country_code": "US",
            "telephone_number": "509-455-8820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "KRISTIN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-01",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WA",
            "license": "AP60486639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwalters645082@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "62 W 7th Ave Ste 450",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992042321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.