Individual provider Active NPI

Kristopher T. Stanton, MD

  • Emergency Medicine Physician
  • Spokane, WA
National Provider Identifier
1063671147
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD60058256 Issued in WA
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

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2004028MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100108000834 WA Practitioner - Family PracticePractitioner - Emergency Medicine 0941341275 Reassigns benefits to 3 organizations
I20180102001503 ID Practitioner - Family Practice 0941341275 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60058256WAMDFamily Medicine Physician
ML20008800WAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Pend Oreille County Public Hospital District No 1 CurrentSince Mar 15, 2024 Accepting new patients
Boundary Community Hospital Current Accepting new patients
Providence Health & Services - Wa CurrentSince Mar 5, 2024 Accepting new patients
Boundary Community Hospital Family Medicine CurrentSince Sep 1, 2023 Accepting new patients
Boundary Community Hospital CurrentSince Sep 1, 2023 Accepting new patients
Providence Health & Services - Washington CurrentSince Jul 29, 2024 Accepting new patients
Spokane Emergency Care Physicians PLLC Emergency Medicine CurrentSince Jun 1, 2019 Accepting new patients
Pend Oreille County Public Hospital District No 1 CurrentSince Mar 15, 2024 Accepting new patients
Pend Oreille County Public Hospital District No 1 Family Medicine CurrentSince Dec 22, 2025 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.

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

Verify at the official NPI Registry.