Individual provider Active NPI

Kristin Joanne Anderson, M.D.

  • Family Medicine Physician
  • Seattle, WA
National Provider Identifier
1255501292
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ML20009036 Issued in WA
Practice address
2101 E Yesler Way
Suite 210
Seattle, WA 98122-5959
Phone
(206) 299-1937
Fax
(206) 299-1920
NPI assigned
Mar 5, 2008
Last updated
Oct 4, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ML20009036 WA Primary

Addresses

Primary practice location

2101 E Yesler Way
Suite 210
Seattle, WA 98122-5959

Mailing address

2101 E Yesler Way
Suite 210
Seattle, WA 98122-5959
Phone (206) 299-1937

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
I20110412000461 WA Practitioner - Family Practice 9133303464 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Tufts University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seattle Roots Community HealthGroup PAC ID 8628966173, 50 clinicians

Practice addresses (Care Compare)

2101 E Yesler Way
Suite 150
Seattle, WA 98122-5959
Phone (206) 299-1900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ML20009036WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborcare Health CurrentSince Mar 14, 2011 Accepting new patients
Swedish Health Services CurrentSince Nov 4, 2013 Accepting new patients
Neighborcare Health Current Accepting new patients
Seattle Roots Community Health CurrentSince Sep 18, 2011 Accepting new patients
Neighborcare Health Family Medicine CurrentSince Mar 14, 2011 Accepting new patients
Swedish Health Services CurrentSince Nov 4, 2013 Accepting new patients
Seattle Roots Community Health Family Medicine CurrentSince Sep 18, 2011 Accepting new patients
Seattle Roots Community Health Current Accepting new patients
Seattle Roots Community Health Family Medicine Past Accepting new patients
Swedish Health Services Past Accepting new patients
Seattle Roots Community Health Past Accepting new patients

Locations

7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800

12721 30th Ave NE
Ste 101
Seattle, WA 98125
Phone (206) 417-0326

1629 N 45th St
Seattle, WA 98103
Phone (206) 633-3350

2101 E Yesler Way
#210
Seattle, WA 98122
Phone (206) 299-1937

2101 E Yesler Way
Ste 100
Seattle, WA 98122
Phone (206) 987-7200

2101 E Yesler Way
Ste 150
Seattle, WA 98122
Phone (206) 299-1900

2410 E Cherry St
Seattle, WA 98122
Phone (206) 299-1900

301 21st Ave E
Seattle, WA 98112
Phone (206) 709-7190

4400 37th Ave S
Seattle, WA 98118
Phone (206) 296-4650

500 19th Ave E
Seattle, WA 98112
Phone (206) 299-1600

6020 35th Ave SW
Seattle, WA 98126
Phone (206) 461-6950

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

9245 Rainier Ave S
Seattle, WA 98118
Phone (206) 461-6981

Interoperability endpoints

  • Direct secure messaging: kanderson272426@direct.ochin.org

Organizations & group practices 11

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.

Hospital & facility affiliations 2

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": "1204675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1255501292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 E YESLER WAY",
            "address_2": "SUITE 210",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225959",
            "telephone_number": "206-299-1937",
            "fax_number": "206-299-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 E YESLER WAY",
            "address_2": "SUITE 210",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225959",
            "telephone_number": "206-299-1937",
            "fax_number": "206-299-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KRISTIN",
        "middle_name": "JOANNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-05",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "ML20009036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.