Individual provider Active NPI

Kjersti Braunstein, MD

  • Child & Adolescent Psychiatry Physician
  • Seattle, WA
National Provider Identifier
1639378656
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD60105366 Issued in WA
Practice address
1200 5TH Ave
Ste 800
Seattle, WA 98101-3132
Phone
(206) 374-0109
Fax
(206) 374-0108
NPI assigned
Jul 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ML20008933 WA
Child & Adolescent Psychiatry Physician 2084P0804X MD60105366 WA Primary

Addresses

Primary practice location

1200 5TH Ave
Ste 800
Seattle, WA 98101-3132

Mailing address

1200 5TH Ave
Ste 800
Seattle, WA 98101-3132
Phone (206) 374-0109

Other names 1

  • Kjersti Gemar Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ML20008933WAMDPsychiatry Physician
MD60105366WAMDChild & Adolescent Psychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1639378656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 5TH AVE",
            "address_2": "STE 800",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981013132",
            "telephone_number": "206-374-0109",
            "fax_number": "206-374-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 5TH AVE",
            "address_2": "STE 800",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981013132",
            "telephone_number": "206-374-0109",
            "fax_number": "206-374-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUNSTEIN",
        "first_name": "KJERSTI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "ML20008933",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "WA",
            "license": "MD60105366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KJERSTI",
            "last_name": "GEMAR",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.