Active NPI
Kristine L. Lineberry, M.D.
- Diagnostic Radiology Physician
- Silverdale, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 36861
- Practice address
- 1780 NW Myhre Rd Ste 1220
Silverdale, WA 98383-8676 - Phone
- (360) 813-6021
- NPI assigned
- Jul 11, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | C148554 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | 36861 | WI | Primary |
Addresses
Primary practice location
1780 NW Myhre Rd Ste 1220
Silverdale, WA 98383-8676
Mailing address
1780 NW Myhre Rd Ste 1220
Silverdale, WA 98383-8676
Phone (360) 813-6021
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32622300 | Medicaid | WI | |
| P00455980 | Other | WI | RR MEDICARE |
Other names 1
- Kristine S. Shackleton
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Northwestern University Feinberg Medical School, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2520 Cherry Ave
Bremerton, WA 98310-4229
Phone (360) 337-6500
Hospital & facility affiliations
- St Michael Medical Center
- St Joseph Medical Center
- St Anthony Hospital
- Virginia Mason Medical Center
- Olympic Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.76 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 47.53
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C148554 | CA | MD | Diagnostic Radiology Physician |
| 36861 | WI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olympic Medical Imaging Consultants, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Advanced Healthcare SC | Past | Accepting new patients |
Locations
21 NE Romance Hill Rd
Belfair, WA 98528
Phone (360) 277-2950
2520 Cherry Ave
Bremerton, WA 98310
Phone (360) 377-3911
2700 Clare Ave
Bremerton, WA 98310
Phone (360) 479-6555
450 S Kitsap Blvd
Ste 110
Port Orchard, WA 98366
Phone (360) 337-6500
1800 NW Myhre Rd
Silverdale, WA 98383
Phone (360) 337-8800
1780 NW Myhre Rd
Ste 1220
Silverdale, WA 98383
Phone (360) 337-6500
2916 NW Bucklin Hill Rd
Silverdale, WA 98383
Phone (360) 813-6021
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Silverdale, WA
- NPI 1750441614
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1154371847
Hospital & facility affiliations 7
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
- Silverdale, WA
- NPI 1518912609
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1124291117
-
- General Acute Care Hospital
- Gig Harbor, WA
- NPI 1447406699
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1952309098
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1801851258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744675200000",
"number": "1528092632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1780 NW MYHRE RD STE 1220",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983838676",
"telephone_number": "360-813-6021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1780 NW MYHRE RD STE 1220",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983838676",
"telephone_number": "360-813-6021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINEBERRY",
"first_name": "KRISTINE",
"middle_name": "L.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2025-04-15",
"certification_date": "2025-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "C148554",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WI",
"license": "36861",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32622300",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00455980",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTINE",
"last_name": "SHACKLETON",
"middle_name": "S.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Silverdale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.