Individual provider Active NPI

Kristine Michelle King, M.D.

  • Clinical Genetics (M.D.) Physician
  • Renton, WA
National Provider Identifier
1174600183
Registry record updated Jan 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X
License
MD60174120 Issued in WA
Practice address
4033 Talbot Rd S Ste 470
Renton, WA 98055-5700
Phone
(425) 656-5062
Fax
(425) 656-4032
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X MD60174120 WA
Clinical Genetics (M.D.) Physician 207SG0201X MD60174120 WA Primary

Addresses

Primary practice location

4033 Talbot Rd S Ste 470
Renton, WA 98055-5700

Mailing address

3600 Lind Ave SW Ste 100
Renton, WA 98057-4970
Phone (425) 228-3440

Other practice location 1

3915 Talbot Rd S
Ste 300
Renton, WA 98055-5738
Phone (425) 656-5570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 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
I20110201000817 WA Practitioner - Obstetrics/GynecologyPractitioner - Medical Genetics and Genomics 4082711908 Reassigns benefits to 2 organizations
I20230104001454 WA Practitioner - Medical Genetics and Genomics 4082711908 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Washington, PC CurrentSince Apr 15, 2016 Accepting new patients
Valley Medical Group-Renton Gynecology CurrentSince Jul 1, 2016 Accepting new patients
Multicare Health System CurrentSince Dec 7, 2022 Accepting new patients
Multicare Health System Current Accepting new patients
Multicare Health System CurrentSince Dec 7, 2022 Accepting new patients
Multicare Health System Past Accepting new patients

Locations

17700 SE 272nd St
Ste 460
Covington, WA 98042
Phone (253) 403-0077

16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

17700 SE 272nd St
#460
Kent, WA 98042

200 Lilly Rd NE
Ste C
Olympia, WA 98506
Phone (360) 918-8336

400 S 43rd St
Renton, WA 98055
Phone (425) 228-3450

3915 Talbot Rd S
Ste 300
Renton, WA 98055
Phone (425) 656-5570

3600 Lind Ave SW
Ste 100
Renton, WA 98057

4033 Talbot Rd S
Ste 470
Renton, WA 98055
Phone (425) 656-5062

1800 NW Myhre Rd
Silverdale, WA 98383
Phone (360) 337-8800

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

Organizations & group practices 6

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515974400000",
    "number": "1174600183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 LIND AVE SW STE 100",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980574970",
            "telephone_number": "425-228-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4033 TALBOT RD S STE 470",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555700",
            "telephone_number": "425-656-5062",
            "fax_number": "425-656-4032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3915 Talbot Rd S",
            "address_2": "STE 300",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "980555738",
            "country_code": "US",
            "telephone_number": "425-656-5570",
            "fax_number": "425-271-5280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "KRISTINE",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2018-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "WA",
            "license": "MD60174120",
            "primary": false
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "WA",
            "license": "MD60174120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

Verify at the official NPI Registry.