Active NPI
Kristopher T. Stanton, MD
- Emergency Medicine Physician
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD60058256
- Practice address
- 104 W 5TH Ave
Suite 200W
Spokane, WA 99204-4880 - Phone
- (509) 624-2313
- Fax
- (509) 459-0686
- NPI assigned
- Jun 4, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD60058256 | WA | Primary |
| Family Medicine Physician | 207Q00000X | MD60058256 | WA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | ML20008800 | WA |
Addresses
Primary practice location
104 W 5TH Ave
Suite 200W
Spokane, WA 99204-4880
Mailing address
12606 E Mission Ave
Spokane Valley, WA 99216-3421
Phone (509) 473-5885
Other practice location 1
714 W Pine St
Newport, WA 99156-9046
Phone (509) 447-2441
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2004028 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60058256 | WA | MD | Family Medicine Physician |
| ML20008800 | WA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pend Oreille County Public Hospital District No 1 | Current | Accepting new patients | |
| Boundary Community Hospital | Current | Accepting new patients | |
| Providence Health & Services - Wa | Current | Accepting new patients | |
| Boundary Community Hospital | Family Medicine | Current | Accepting new patients |
| Boundary Community Hospital | Current | Accepting new patients | |
| Providence Health & Services - Washington | Current | Accepting new patients | |
| Spokane Emergency Care Physicians PLLC | Emergency Medicine | Current | Accepting new patients |
| Pend Oreille County Public Hospital District No 1 | Current | Accepting new patients | |
| Pend Oreille County Public Hospital District No 1 | Family Medicine | Current | Accepting new patients |
| Pend Oreille County Public Hospital District No 1 | Emergency Medicine | Past | Accepting new patients |
Locations
6640 Kaniksu St
Bonners Ferry, ID 83805
Phone (208) 267-3141
500 E Webster Ave
Chewelah, WA 99109
Phone (509) 482-2154
982 E Columbia Ave
Colville, WA 99114
Phone (509) 684-2561
714 W Pine St
Newport, WA 99156
Phone (509) 447-2441
800 W 5th Ave
Spokane, WA 99204
Phone (509) 458-5800
8202 N Division St
Spokane, WA 99208
Phone (509) 473-3333
Organizations & group practices 10
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.
-
- Critical Access Hospital
- Newport, WA
- NPI 1780778423
-
- Emergency Medicine Physician
- Spokane, WA
- NPI 1912564055
-
- Critical Access Hospital
- Bonners Ferry, ID
- NPI 1801896683
-
- Emergency Medicine Physician
- Newport, WA
- NPI 1427264795
-
- Community/Retail Pharmacy
- Newport, WA
- NPI 1134831415
-
- Clinic/Center
- Newport, WA
- NPI 1720294002
Family Medicine
-
- Critical Access Hospital
- Chewelah, WA
- NPI 1902058399
-
- Critical Access Hospital
- Colville, WA
- NPI 1841442332
-
- Emergency Medical Services (Emergency Medicine) Physician
- Bonners Ferry, ID
- NPI 1679621098
Family Medicine
-
- Rural Health Clinic/Center
- Bonners Ferry, ID
- NPI 1801273552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757462400000",
"number": "1063671147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12606 E MISSION AVE",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992163421",
"telephone_number": "509-473-5885",
"fax_number": "509-459-0686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 W 5TH AVE",
"address_2": "SUITE 200W",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992044880",
"telephone_number": "509-624-2313",
"fax_number": "509-459-0686"
}
],
"practiceLocations": [
{
"address_1": "714 W Pine St",
"address_purpose": "LOCATION",
"city": "Newport",
"state": "WA",
"postal_code": "991569046",
"country_code": "US",
"telephone_number": "509-447-2441",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STANTON",
"first_name": "KRISTOPHER",
"middle_name": "T.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-04",
"last_updated": "2025-09-10",
"certification_date": "2025-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WA",
"license": "MD60058256",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD60058256",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "WA",
"license": "ML20008800",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2004028",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; 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.