Kristen Spade, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP60116307 Issued in WA

Practice address

23200 100TH Ave W
Edmonds, WA 98020-5020

Phone

(425) 431-7270

NPI assigned

Nov 15, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452470400000",
    "number": "1497099436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20420 68TH AVE W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980367405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23200 100TH AVE W",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980205020",
            "telephone_number": "425-431-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPADE",
        "first_name": "KRISTEN",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2016-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP60116307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sound Family Clinic LLC
• Sound Urological Associates P.S.
• Sound Urological Associates P.S.
• Sound Women'S Care, P.S.
• South Hill Pain & Wellness
• Spartan Sleep Services, PLLC
• Spero Consulting
• David A Spiro, M.D.
• Rose M Springer, LMP
• Stacie Apple Counseling PLLC

• Licensed Practical Nurse in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Licensed Practical Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; 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.