NPIMap

Individual provider Active NPI

Kelley Lynn Cline, MD

  • Neuroradiology Physician
  • Seattle, WA
National Provider Identifier
1497941504
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
MD00047605 Issued in WA
Practice address
1959 NE Pacific St
C212, Box 356340
Seattle, WA 98195-0001
Phone
(206) 543-0065
NPI assigned
Sep 21, 2007
Last updated
Jun 17, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X MD00047605 WA Primary

Addresses

Primary practice location

1959 NE Pacific St
C212, Box 356340
Seattle, WA 98195-0001

Mailing address

1959 NE Pacific St
C212, Box 356340
Seattle, WA 98195-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, AK2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080821000490 WA Practitioner - Diagnostic Radiology 4486729605 Reassigns benefits to 11 organizations
I20090105000030 AK Practitioner - Diagnostic Radiology 4486729605 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairbanks Medical Imaging LLCGroup PAC ID 4082894407, 28 clinicians
Skagit Radiology Inc P SGroup PAC ID 7113815218, 39 clinicians
North Star Medical Imaging PLLCGroup PAC ID 7214005099, 30 clinicians
Bellingham Advanced Medical Imaging LLCGroup PAC ID 9739446824, 27 clinicians
Skagit Digital Imaging LLCGroup PAC ID 4486543204, 29 clinicians

Practice addresses (Care Compare)

101 N Main St
Coupeville, WA 98239-3413

1211 24TH St
Anacortes, WA 98221-2562
Phone (360) 678-5151

1320 E Division St
Mount Vernon, WA 98274-4133
Phone (360) 424-6161

1344 King St
Suite 101
Bellingham, WA 98229-6215
Phone (360) 424-6161

1415 E Kincaid St
Mount Vernon, WA 98274-4126
Phone (360) 424-6161

2310 Peger Rd
Suite 102
Fairbanks, AK 99709-5305
Phone (360) 424-6161

250 Hospital PL
Soldotna, AK 99669-7559
Phone (360) 424-6161

272 Stacy Dr
Soldotna, AK 99669-7835
Phone (360) 424-6161

310 S 11TH St
Unit 109
Mount Vernon, WA 98274-4052
Phone (360) 424-6161

330 S Stillaguamish Ave
Arlington, WA 98223-1642
Phone (360) 678-5151

3822 Colby Ave
Suite 100
Everett, WA 98201-4913
Phone (360) 424-6161

7167 NE 126TH St
Kirkland, WA 98034-5717
Phone (360) 424-6161

827 97TH Ave SE
Bellevue, WA 98004-6752
Phone (360) 424-6161

834 Sheridan St
Port Townsend, WA 98368-2443
Phone (360) 385-2200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00047605WAMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Star Medical Imaging PLLC CurrentSince Oct 31, 2008 Accepting new patients
Public Hospital District No 2 Skagit County Washington CurrentSince Aug 1, 2008 Accepting new patients
Alliance Healthcare Services Inc CurrentSince Feb 9, 2011 Accepting new patients
Public Hospital District No 2 Skagit County Washington CurrentSince Aug 1, 2008 Accepting new patients
Professional Resources Management of Rabun, LLC Current Accepting new patients
Jefferson County Public Hospital District No 2 CurrentSince Nov 1, 2022 Accepting new patients
Iliuliuk Family and Health Services Inc CurrentSince May 1, 2023 Accepting new patients
Whidbey Island Public Hospital District CurrentSince Jun 1, 2020 Accepting new patients
Fairbanks Medical Imaging LLC CurrentSince Jan 1, 2011 Accepting new patients
Whidbey Island Public Hospital District CurrentSince Jun 1, 2020 Accepting new patients
Western Washington Medical Group, Inc PS CurrentSince Sep 1, 2016 Accepting new patients
Bellingham Advanced Medical Imaging LLC CurrentSince Oct 7, 2017 Accepting new patients
Public Hospital District No 2 Skagit County Washington Current Accepting new patients
Skagit Radiology Inc P S CurrentSince Jul 1, 2008 Accepting new patients
Iliuliuk Family &Health Services, Inc. Past Accepting new patients

Locations

2310 Peger Rd
Ste 102
Fairbanks, AK 99709

250 Hospital Pl
Soldotna, AK 99669
Phone (907) 714-4404

162 Legacy Pt
Clayton, GA 30525
Phone (706) 782-0408

1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181

1344 King St
Ste 101
Bellingham, WA 98229
Phone (360) 676-6393

101 N Main St
Coupeville, WA 98239
Phone (360) 678-7656

125 N 18th St
Ste C
Mount Vernon, WA 98273
Phone (360) 428-7274

1320 E Division St
Mount Vernon, WA 98274
Phone (360) 424-9607

1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586

1415 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 416-5750

1200 W Sims Way
Ste C
Port Townsend, WA 98368
Phone (360) 385-6297

834 Sheridan St
Port Townsend, WA 98368
Phone (360) 344-0400

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

Interoperability endpoints

  • Direct secure messaging: kcline12593@skagit.direct-ci.com

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

Hospital & facility affiliations 28

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1497941504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST",
            "address_2": "C212, BOX 356340",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981950001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST",
            "address_2": "C212, BOX 356340",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981950001",
            "telephone_number": "206-543-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINE",
        "first_name": "KELLEY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-21",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "WA",
            "license": "MD00047605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.