Active NPI
Kristin Marie Satterfield, MD
- Pediatrics Physician
- Walla Walla, WA
National Provider Identifier
1467743500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD60741615
- Practice address
- 1111 S 2ND Ave
Walla Walla, WA 99362-4118 - Phone
- (509) 527-8152
- NPI assigned
- Apr 24, 2011
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD60741615 | WA | Primary |
Addresses
Primary practice location
1111 S 2ND Ave
Walla Walla, WA 99362-4118
Mailing address
PO Box 1398
Walla Walla, WA 99362-0309
Phone (509) 527-8152
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD60741615 | Other | WA | WA STATE DEPT OF HEALTH LICENSE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wwu Campus Health & Wellness | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Student Health Clinic/Center
- College Place, WA
- NPI 1629048848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490832000000",
"number": "1467743500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1398",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993620309",
"telephone_number": "509-527-8152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 S 2ND AVE",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993624118",
"telephone_number": "509-527-8152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SATTERFIELD",
"first_name": "KRISTIN",
"middle_name": "MARIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-24",
"last_updated": "2017-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "MD60741615",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA STATE DEPT OF HEALTH LICENSE",
"identifier": "MD60741615",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Walla Walla, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.