Active NPI
Crystal Kim, PA-C
- Physician Assistant
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA60797627
- Practice address
- 1550 N 115TH St
Seattle, WA 98133-8401 - Phone
- (206) 520-5000
- NPI assigned
- Sep 21, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA60797627 | WA | |
| Surgical Physician Assistant | 363AS0400X | PA60797627 | WA | |
| Physician Assistant | 363A00000X | PA60797627 | WA | Primary |
Addresses
Primary practice location
1550 N 115TH St
Seattle, WA 98133-8401
Mailing address
PO Box 50095
Seattle, WA 98145-5095
Other practice location 1
325 9th Ave
Seattle, WA 98104-2420
Phone (206) 744-3000
Other practice location 2
908 Jefferson St Fl 5
Seattle, WA 98104-2433
Phone (206) 520-5000
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1550 N 115TH St
Seattle, WA 98133-8401
Phone (206) 364-0500
1570 N 115TH St
Seattle, WA 98133-8401
Phone (206) 306-2800
Hospital & facility affiliations
- University of Washington Medical Ctr
- Olympic Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA60797627 | WA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harborview Medical Center | Current | Accepting new patients | |
| Harborview Medical Center | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients |
Locations
125 16th Ave E
Seattle, WA 98112
Phone (206) 326-3530
200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530
1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333
908 Jefferson St
Fl 5
Seattle, WA 98104
Phone (206) 744-9300
325 9th Ave
Seattle, WA 98104
Phone (206) 731-3000
9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800
Interoperability endpoints
- ckim646956@direct.ehre.uwmedicine.org
- ckim234983@ghc.direct-ci.net
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.
-
- Anesthesiology Physician
- Seattle, WA
- NPI 1023041159
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1053359729
-
- Multi-Specialty Clinic/Center
- Seattle, WA
- NPI 1396810701
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1568557312
-
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1386935351
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Angeles, WA
- NPI 1306845557
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1326002049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748822400000",
"number": "1497264451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50095",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981455095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 N 115TH ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981338401",
"telephone_number": "206-520-5000"
}
],
"practiceLocations": [
{
"address_1": "325 9th Ave",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981042420",
"country_code": "US",
"telephone_number": "206-744-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "908 Jefferson St Fl 5",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981042433",
"country_code": "US",
"telephone_number": "206-520-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "CRYSTAL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-21",
"last_updated": "2025-06-02",
"certification_date": "2025-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WA",
"license": "PA60797627",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "WA",
"license": "PA60797627",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA60797627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.