Active NPI
Kristina Ann Wilson, MA60186404
- Contractor
- Spokane, WA
National Provider Identifier
1538464516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- MA 60186404
- Practice address
- 3209 E 57TH Ave
Suite F
Spokane, WA 99223 - Phone
- (509) 448-9398
- Fax
- (509) 232-5777
- NPI assigned
- Jan 21, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | MA 60186404 | WA | Primary |
Addresses
Primary practice location
3209 E 57TH Ave
Suite F
Spokane, WA 99223
Mailing address
5729 S Ferrall St
Spokane, WA 99223
Phone (509) 448-3411
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA 60186404 | WA | MD | Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hayek Massage Inc | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295568000000",
"number": "1538464516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5729 S FERRALL ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "99223",
"telephone_number": "509-448-3411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3209 E 57TH AVE",
"address_2": "SUITE F",
"city": "SPOKANE",
"state": "WA",
"postal_code": "99223",
"telephone_number": "509-448-9398",
"fax_number": "509-232-5777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "KRISTINA",
"middle_name": "ANN",
"credential": "MA60186404",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-21",
"last_updated": "2011-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "WA",
"license": "MA 60186404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.