Kristy Marie Thompson, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OP00002271 Issued in WA

Practice address

17432 State Route 9 SE Ste 201
Snohomish, WA 98296

Phone

(425) 404-7800

NPI assigned

Aug 30, 2007

Last updated

Apr 8, 2021By the provider in NPPES

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

Other identifiers 1

Other names 1

• Miss Kristy Marie Freed Former name

Electronic endpoints 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Providence Health and Services- WashingtonGroup PAC ID 8325100480, 527 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence at Home With Compassus, Snohomish County Home health agency, Everett, WA, CCN 507065
• Providence Regional Medical Center Everett Hospital, Everett, WA, CCN 500014
• Swedish Medical Center Hospital, Seattle, WA, CCN 500027
• Swedish Edmonds Hospital Hospital, Edmonds, WA, CCN 500026

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kthompson1010170@wm.providencedirect.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Providence Health & Services- Washington

  dba PMG NW Wa

  • General Practice Physician
  • Everett, WA
  • NPI 1124270715
  Medicare reassignment Care Compare group NPD
• Providence Health & Services - Wa

  dba Providence Physician Group - Everett Neuro

  • Neurological Surgery Physician
  • Everett, WA
  • NPI 1760633879
  NPD
• Moses Lake Community Health Center

  dba Quincy Student Health and Wellness Center

  • Student Health Clinic/Center
  • Quincy, WA
  • NPI 1730756644
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• CP Snohomish County Wa, LLC

  dba Providence at Home with Compassus Hospice Care, Snohomish County

  • Home Health Agency
  • Everett, WA
  • NPI 1720800857
  Care Compare affiliation
• Providence Health & Services-Wa

  dba Providence Regional Medical Center Everett

  • Hospitalist Physician
  • Everett, WA
  • NPI 1649615220
  Care Compare affiliation
• Providence Health & Services-Wa

  • General Acute Care Hospital
  • Everett, WA
  • NPI 1700037801
  Care Compare affiliation
• Swedish Edmonds

  • General Acute Care Hospital
  • Edmonds, WA
  • NPI 1033107214
  Care Compare affiliation
• Swedish Edmonds

  • Clinical Medical Laboratory
  • Edmonds, WA
  • NPI 1699894022

  Hospital

  Care Compare affiliation
• Swedish Health Services

  • General Acute Care Hospital
  • Seattle, WA
  • NPI 1306992151
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1205020591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3360",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083360",
            "telephone_number": "866-747-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17432 STATE ROUTE 9 SE STE 201",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "98296",
            "telephone_number": "425-404-7800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13020 Meridian Ave S",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982086468",
            "country_code": "US",
            "telephone_number": "425-357-3700",
            "fax_number": "425-357-3701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13020 Meridian Ave S",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982086468",
            "country_code": "US",
            "telephone_number": "425-357-3700",
            "fax_number": "425-357-3701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KRISTY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-30",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP00002271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205020591",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kthompson1010170@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "17432 State Route 9 SE Ste 201",
            "city": "Snohomish",
            "state": "WA",
            "country_code": "US",
            "postal_code": "98296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRISTY",
            "last_name": "FREED",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• The Chec Center LLC
• The Snohomish Naturopathic Clinic, PLLC
• Renee Virginia Thelen, PHARMACY TECH
• April H Thomas, RNFA
• Hannah K Thompson, PA
• Sylvia Ann Thompson, RN, CPED
• Ashley Thor Tanner, DO
• June Ann Thorne, OTR/L
• Sandra L Thorne, RN
• Vincenzo Antonina Thousand

• Family Medicine Physician in Snohomish, WA
• Providers in Snohomish, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.