Active NPI
Karie-Lynn Janet Kelly, M.D.. F.R.C.P.C.
- Radiation Oncology Physician
- Spokane Valley, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- MD60014236
- Practice address
- 13424 E Mission Ave
Spokane Valley, WA 99216-2759 - Phone
- (509) 462-2273
- NPI assigned
- Nov 8, 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 |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | MD60014236 | WA | Primary |
Addresses
Primary practice location
13424 E Mission Ave
Spokane Valley, WA 99216-2759
Mailing address
6704 W Diagonal Rd
Rathdrum, ID 83858-7176
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1401 E Trent Ave
Suite 200
Spokane, WA 99202-2902
Phone (509) 747-3147
6001 N Mayfair St
Spokane, WA 99208-1129
Phone (509) 462-2273
Hospital & facility affiliations
- Newport Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spokane Urology PLLC | Current | Accepting new patients | |
| Spokane Urology PLLC | Current | Accepting new patients | |
| Hot Springs Radiation Oncology, PA | Past | Accepting new patients | |
| Michael Kos MD, PS | Radiation Oncology | Past | Accepting new patients |
Locations
5633 N Lidgerwood St
Spokane, WA 99208
Phone (509) 482-0111
1401 E Trent Ave
Ste 200
Spokane, WA 99202
Phone (509) 747-3147
Organizations & group practices 5
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.
-
- Urology Physician
- Spokane, WA
- NPI 1912015439
-
- Specialist
- Spokane, WA
- NPI 1215980198
-
- Durable Medical Equipment & Medical Supplies
- Spokane Valley, WA
- NPI 1538870134
-
- Specialist
- Hot Springs, AR
- NPI 1730194556
-
- Radiation Oncology Physician
- Lewiston, ID
- NPI 1528735917
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Newport, WA
- NPI 1780778423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691452800000",
"number": "1417027640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6704 W DIAGONAL RD",
"city": "RATHDRUM",
"state": "ID",
"postal_code": "838587176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13424 E MISSION AVE",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992162759",
"telephone_number": "509-462-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "KARIE-LYNN",
"middle_name": "JANET",
"name_prefix": "Dr.",
"credential": "M.D.. F.R.C.P.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2023-08-08",
"certification_date": "2023-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "WA",
"license": "MD60014236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.