Active NPI
Kristine Ichigotora, M.AC.EAM.
- Integrative Medicine Physician
- Seattle, WA
National Provider Identifier
1205683497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Integrative Medicine Physician
- License
- AC61516674
- Practice address
- 6363 7TH Ave S Ste 100
Seattle, WA 98108-3407 - Phone
- (808) 797-7808
- NPI assigned
- May 4, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Integrative Medicine Physician | 202D00000X | AC61516674 | WA | Primary |
Addresses
Primary practice location
6363 7TH Ave S Ste 100
Seattle, WA 98108-3407
Mailing address
98-1855 Mikinolia PL
Aiea, HI 96701-1613
Phone (808) 255-8301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC61516674 | WA | MD | Integrative Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755734400000",
"number": "1205683497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98-1855 MIKINOLIA PL",
"city": "AIEA",
"state": "HI",
"postal_code": "967011613",
"telephone_number": "808-255-8301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6363 7TH AVE S STE 100",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981083407",
"telephone_number": "808-797-7808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ICHIGOTORA",
"first_name": "KRISTINE",
"credential": "M.AC.EAM.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-04",
"last_updated": "2025-08-21",
"certification_date": "2025-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "202D00000X",
"taxonomy_group": "",
"desc": "Integrative Medicine",
"state": "WA",
"license": "AC61516674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.