Active NPI
Kristine Elizabeth Goedhard, CTRS
- Recreation Therapist
- Seattle, WA
National Provider Identifier
1215023619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- Practice address
- VA Puget Sound Health Care System
1660 S. Columbian Way (S-117-RCS)
Seattle, WA 98108 - Phone
- (206) 277-6683
- Fax
- (206) 764-2263
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | Primary |
Addresses
Primary practice location
VA Puget Sound Health Care System
1660 S. Columbian Way (S-117-RCS)
Seattle, WA 98108
Mailing address
15927 SE 179TH St
Renton, WA 98058
Phone (425) 793-0573
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215023619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15927 SE 179TH ST",
"city": "RENTON",
"state": "WA",
"postal_code": "98058",
"telephone_number": "425-793-0573",
"fax_number": "206-764-2263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VA PUGET SOUND HEALTH CARE SYSTEM",
"address_2": "1660 S. COLUMBIAN WAY (S-117-RCS)",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98108",
"telephone_number": "206-277-6683",
"fax_number": "206-764-2263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOEDHARD",
"first_name": "KRISTINE",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "CTRS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": null,
"license": null,
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.