Individual provider Active NPI

Holly J Christoferson, MD

  • Family Medicine Physician
  • Seattle, WA
National Provider Identifier
1639280191
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00045452 Issued in WA
Practice address
800 5TH Ave Ste 600
Seattle, WA 98104-3186
Phone
(206) 215-3354
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00045452 WA Primary

Addresses

Primary practice location

800 5TH Ave Ste 600
Seattle, WA 98104-3186

Mailing address

PO Box 25608
Salt Lake City, UT 84125-0608
Phone (206) 320-4476

Other practice location 1

2811 S 102nd St
Tukwila, WA 98168-1870
Phone (206) 320-4000

Other practice location 2

64 Rainier Ave S
Renton, WA 98057-2047
Phone (425) 224-2144

Other identifiers 1

IdentifierTypeStateIssuer
1639280191MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hchristoferson1041341@wm.providencedirect.org Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061128000464 WA Practitioner - Family Practice 8729086814 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

15214 Aurora Ave N
Shoreline, WA 98133-6143
Phone (206) 518-9021

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CP Seattle Wa Hospice, LLC Family Medicine Current Accepting new patients
Iora Senior Health, LLC Current Accepting new patients
Providence Health & Services - Washington CurrentSince Jun 7, 2021 Accepting new patients
Kaiser Foundation Health Plan of Washington Current Accepting new patients
Swedish Health Services CurrentSince Aug 18, 2018 Accepting new patients
Iora Health Washington Physicians, P.C. CurrentSince Sep 23, 2024 Accepting new patients
Pro Health One Inc CurrentSince Mar 19, 2024 Accepting new patients
Swedish Health Services Family Medicine CurrentSince Aug 18, 2018 Accepting new patients
Swedish Health Services Family Medicine Current Accepting new patients
Iora Senior Health, LLC CurrentSince Sep 23, 2024 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Feb 24, 2011 Accepting new patients
Providence Health & Services - Washington Family Medicine CurrentSince Jun 7, 2021 Accepting new patients

Locations

1 Embarcadero Ctr
Fl 19
San Francisco, CA 94111
Phone (415) 814-0927

8181 E Tufts Ave
Ste 510
Denver, CO 80237
Phone (720) 833-7715

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

3705 S Meridian
Ste B
Puyallup, WA 98373
Phone (253) 765-5050

64 Rainier Ave S
Renton, WA 98057
Phone (206) 931-3557

64 Rainier Ave S
Ste I
Renton, WA 98057
Phone (425) 224-2144

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

800 5th Ave
Ste 600
Seattle, WA 98104

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

1334 Terry Ave
Seattle, WA 98101
Phone (206) 682-2661

306 23rd Ave S
Ste 200
Seattle, WA 98144
Phone (206) 518-9033

2450 33rd Ave W
Ste 100
Seattle, WA 98199
Phone (206) 320-3364

15214 Aurora Ave N
Shoreline, WA 98133
Phone (206) 518-9021

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

2811 S 102nd St
Ste 220
Tukwila, WA 98168
Phone (206) 320-4000

Interoperability endpoints

  • Direct secure messaging: hchristoferson1041341@wm.providencedirect.org

Organizations & group practices 12

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1639280191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25608",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841250608",
            "telephone_number": "206-320-4476",
            "fax_number": "206-568-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 5TH AVE STE 600",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043186",
            "telephone_number": "206-215-3354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2811 S 102nd St",
            "address_purpose": "LOCATION",
            "city": "Tukwila",
            "state": "WA",
            "postal_code": "981681870",
            "country_code": "US",
            "telephone_number": "206-320-4000",
            "fax_number": "206-326-2280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "64 Rainier Ave S",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "980572047",
            "country_code": "US",
            "telephone_number": "425-224-2144",
            "fax_number": "415-252-7176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTOFERSON",
        "first_name": "HOLLY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00045452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639280191",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hchristoferson1041341@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2811 S 102nd St",
            "city": "Tukwila",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981681870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.