NPIMap

Organization Active NPI

Kristie Mattern LLC

  • Clinic/Center
  • University Place, WA
National Provider Identifier
1023736097
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
KRISTIE MATTERN LLC
Practice address
7902 27TH St W Ste 7a
University Place, WA 98466-3431
Phone
(253) 500-4059
NPI assigned
Aug 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Authorized official

Name
Kristie Mattern, PANPI 1023392529
Title
Owner/Provider
Phone
(253) 973-6135

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

7902 27TH St W Ste 7a
University Place, WA 98466-3431

Mailing address

7902 27TH St W Ste 7a
University Place, WA 98466-3431
Phone (253) 500-4059

Other identifiers 1

IdentifierTypeStateIssuer
1023392529OtherWANPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL npiregistry.cms.hhs.gov/

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1023736097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7902 27TH ST W STE 7A",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984663431",
            "telephone_number": "253-500-4059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7902 27TH ST W STE 7A",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984663431",
            "telephone_number": "253-500-4059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTIE MATTERN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "MATTERN",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "253-973-6135",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1023392529",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "npiregistry.cms.hhs.gov/",
            "affiliation": "N",
            "address_1": "7902 27th St W Ste 7A",
            "city": "University Place",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984663431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in University Place, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.