Individual provider Active NPI

Kristy A Walton, MD

  • Family Medicine Physician
  • Lakewood, WA
National Provider Identifier
1013221522
Registry record updated Dec 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
60394984 Issued in WA
Practice address
5700 100TH St SW Ste 510
Lakewood Clinic
Lakewood, WA 98499-2767
Phone
(253) 459-6060
Fax
(253) 459-6064
NPI assigned
Jul 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 60394984 WA Primary

Addresses

Primary practice location

5700 100TH St SW Ste 510
Lakewood Clinic
Lakewood, WA 98499-2767

Mailing address

5700 100TH St SW Ste 510
Lakewood Clinic
Lakewood, WA 98499-2767
Phone (253) 459-6060

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140303001710 WA Practitioner - Family Practice 7911148176 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
60394984WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Feb 10, 2014 Accepting new patients
Multicare Health System CurrentSince Feb 10, 2014 Accepting new patients
Multicare Health System Current Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

5700 100th St SW
Ste 510
Lakewood, WA 98499
Phone (253) 459-6060

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387152000000",
    "number": "1013221522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 100TH ST SW STE 510",
            "address_2": "LAKEWOOD CLINIC",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992767",
            "telephone_number": "253-459-6060",
            "fax_number": "253-459-6064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 100TH ST SW STE 510",
            "address_2": "LAKEWOOD CLINIC",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992767",
            "telephone_number": "253-459-6060",
            "fax_number": "253-459-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "KRISTY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-27",
        "last_updated": "2013-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "60394984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

Verify at the official NPI Registry.