Krista Gaines Galitsis, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD60197795 Issued in WA

Practice address

326 S. Stillaguamish Ave.
Arlington, WA 98223

Phone

(360) 435-2144

Fax

(360) 435-9601

NPI assigned

Sep 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Dr. Krista Lee Gaines Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Wythe County Physician Practices LLC

  • Diagnostic Radiology Physician
  • Wytheville, VA
  • NPI 1457168494
  NPD (past)
• Wythe County Physician Practices LLC

  • Family Medicine Physician
  • Wytheville, VA
  • NPI 1780630327

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296604800000",
    "number": "1467544221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E. KINKAID STREET",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "962744127",
            "telephone_number": "360-428-2500",
            "fax_number": "360-428-6485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 S. STILLAGUAMISH AVE.",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "98223",
            "telephone_number": "360-435-2144",
            "fax_number": "360-435-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALITSIS",
        "first_name": "KRISTA",
        "middle_name": "GAINES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2011-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "200400673",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD60197795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89137XT",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "137XT",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTA",
            "last_name": "GAINES",
            "middle_name": "LEE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• George Frenz, PTA
• Peter John Frey, PA-C
• Kelly A Frick, MSPT
• Helen Fritze
• Katherine Mary Fulton, CDP
• James Gallegos, MFT
• Emily Gannon
• Sabrina Ganske Guilliaume, OTR/L
• Corin Les Garvey, LMHCA
• Scott Alan Gassoway, LMHCA

• Pediatrics Physician in Arlington, WA
• Providers in Arlington, WA by specialty
• Pediatrics Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.