Individual provider Active NPI

Kristen E. Novey, PA-C

  • Medical Physician Assistant
  • Seattle, WA
National Provider Identifier
1184943995
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA60987901 Issued in WA
Practice address
2810 5TH Ave W
Seattle, WA 98119-2212
Phone
(206) 290-3957
Fax
(866) 529-9739
NPI assigned
May 19, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 05682 MD
Medical Physician Assistant 363AM0700X PA60987901 WA Primary

Addresses

Primary practice location

2810 5TH Ave W
Seattle, WA 98119-2212

Mailing address

2810 5TH Ave W
Seattle, WA 98119-2212
Phone (206) 290-3957

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200507002263 WA Practitioner - Physician Assistant 5698106649 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA60987901WAMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: kristen.novey.1@27074.direct.athenahealth.com
  • Direct secure messaging: kristen.novey.1@14407.direct.athenahealth.com

Organizations & group practices 1

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": "1274227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1184943995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 5TH AVE W",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981192212",
            "telephone_number": "206-290-3957",
            "fax_number": "866-529-9739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 5TH AVE W",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981192212",
            "telephone_number": "206-290-3957",
            "fax_number": "866-529-9739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVEY",
        "first_name": "KRISTEN",
        "middle_name": "E.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-19",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "05682",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA60987901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.