Krysta Lee Shove, L.M.P.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA60214993 Issued in WA

Practice address

16303 Hwy 99
Suite 2B
Lynnwood, WA 98087-1453

Phone

(425) 242-4884

Fax

(425) 743-9409

NPI assigned

Jul 13, 2011

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

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": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310515200000",
    "number": "1144518978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 N 113TH ST",
            "address_2": "APT# 201",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338580",
            "telephone_number": "206-430-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16303 HWY 99",
            "address_2": "SUITE 2B",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980871453",
            "telephone_number": "425-242-4884",
            "fax_number": "425-743-9409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOVE",
        "first_name": "KRYSTA",
        "middle_name": "LEE",
        "credential": "L.M.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-13",
        "last_updated": "2011-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA60214993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Shima
• Bowman Young Shin, D.M.D.
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• Alizia L Shook, MSW, LSWAIC
• Jennifer E. Shook, M.D.
• Ellen T Shuler, MA,LMHC
• John W Shumaker, DDS
• Alexandra Shuman
• Lyudmila E Shur, DDS
• Nishat Siddiqui

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; 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.