Katia Lynette Lines, LMP

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA00018919 Issued in WA

Practice address

11615 45TH Dr SE
Everett, WA 98208-9158

Phone

(206) 730-6197

NPI assigned

May 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Katia Lynette Lines Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1063628824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11615 45TH DR SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982089158",
            "telephone_number": "206-730-6197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11615 45TH DR SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982089158",
            "telephone_number": "206-730-6197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINES",
        "first_name": "KATIA",
        "middle_name": "LYNETTE",
        "name_prefix": "Mrs.",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00018919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIA",
            "last_name": "LINES",
            "middle_name": "LYNETTE",
            "prefix": "MRS.",
            "credential": "LMP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• David O Lindstrom, MD
• Emese Lindstrom, MSC, LMP
• Kelsey Lindstrom
• Kyra Lindstrom
• Taylor Christine Line
• Ling LLC
• Stanley S Ling, MD
• Linh D. Nguyen D.D.S., P.S.
• Rosezeana Mae Lininger
• Kassandra Lint

• Specialist in Everett, WA
• Providers in Everett, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.