Individual provider Active NPI

Kristina Kaneshiro Swiggum, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Spokane Valley, WA
National Provider Identifier
1225122591
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
MD60092348 Issued in WA
Practice address
1215 N McDonald Rd
#101
Spokane Valley, WA 99216-1557
Phone
(509) 924-1950
Fax
(509) 921-0017
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X MD60092348 WA Primary

Addresses

Primary practice location

1215 N McDonald Rd
#101
Spokane Valley, WA 99216-1557

Mailing address

1215 N McDonald Rd
#101
Spokane Valley, WA 99216-1557
Phone (509) 924-1950

Other practice location 1

2903 E 25th Ave
Spokane, WA 99223-4992
Phone (509) 536-6700

Other names 1

  • Kristina Kaneshiro Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090817000472 WA Practitioner - Internal Medicine 9931208212 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, Geffen School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2903 E 25TH Ave
Spokane, WA 99223-4992
Phone (509) 536-6700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions15
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60092348WAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
600 Stewart Medical Group, P.C. CurrentSince Sep 12, 2022 Accepting new patients
Swiggum Internal Medicine, PLLC Geriatric Medicine CurrentSince Apr 27, 2023 Accepting new patients

Locations

600 Stewart St
Ste 800
Seattle, WA 98101
Phone (206) 690-5962

307 W 6th Ave
Ste 100
Spokane, WA 99204
Phone (509) 413-0777

2706 W Nob Hill Blvd
Ste 100
Yakima, WA 98902
Phone (206) 848-7500

Interoperability endpoints

  • Direct secure messaging: kristina.swiggum.1@28579.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1225122591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 N MCDONALD RD",
            "address_2": "#101",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161557",
            "telephone_number": "509-924-1950",
            "fax_number": "509-921-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 N MCDONALD RD",
            "address_2": "#101",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161557",
            "telephone_number": "509-924-1950",
            "fax_number": "509-921-0017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2903 E 25th Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992234992",
            "country_code": "US",
            "telephone_number": "509-536-6700",
            "fax_number": "509-536-6856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWIGGUM",
        "first_name": "KRISTINA",
        "middle_name": "KANESHIRO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "WA",
            "license": "MD60092348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "KANESHIRO",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spokane Valley, WA

Sources for this page

Verify at the official NPI Registry.