Active NPI
Kristy A Walton, MD
- Family Medicine Physician
- Lakewood, WA
National Provider Identifier
1013221522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 60394984
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60394984 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | 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.
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Diagnostic Radiology Physician
- Tacoma, WA
- NPI 1285121442
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.