Individual provider Active NPI

Katrina Marie Spaunhurst, M.D.

  • Dermatology Physician
  • Mercer Island, WA
National Provider Identifier
1679917116
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD60931788 Issued in WA
Practice address
7707 SE 27TH St Ste 104
Mercer Island, WA 98040-2844
Phone
(206) 232-2267
Fax
(206) 232-2453
NPI assigned
Apr 27, 2013
Last updated
Nov 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A150816 CA
Dermatology Physician 207N00000X 35.127603 OH
Dermatology Physician 207N00000X MD60931788 WA Primary

Addresses

Primary practice location

7707 SE 27TH St Ste 104
Mercer Island, WA 98040-2844

Mailing address

7707 SE 27TH St Ste 104
Mercer Island, WA 98040-2844
Phone (206) 232-2267

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
I20190515000452 WA Practitioner - Dermatology 6204130339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epiphany Dermatology of Washington PLLCGroup PAC ID 8224560776, 7 clinicians

Practice addresses (Care Compare)

7707 SE 27TH St
Suite 104
Mercer Island, WA 98040-2844
Phone (206) 232-2267

Merit-based Incentive Payment System (MIPS)

Final score
90.65 of 100Reported as group
Promoting interoperability
89
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions167
Removal or shaving of skin growth1-10
Skin biopsy70

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A150816CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Epiphany Dermatology of Washington PLLC Dermatology CurrentSince Mar 1, 2025 Accepting new patients

Locations

7300 Ranch Road 2222
Austin, TX 78730
Phone (512) 343-2837

7300 Ranch Road 2222
Bldg 1
Austin, TX 78730

7707 SE 27th St
Ste 104
Mercer Island, WA 98040
Phone (206) 232-2267

Interoperability endpoints

  • Direct secure messaging: katrina.spaunhurst@epiphanyderm.emadirect.md
  • Direct secure messaging: kspaunhurst@frontierdermpartners.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1367020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1679917116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7707 SE 27TH ST STE 104",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402844",
            "telephone_number": "206-232-2267",
            "fax_number": "206-232-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7707 SE 27TH ST STE 104",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402844",
            "telephone_number": "206-232-2267",
            "fax_number": "206-232-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAUNHURST",
        "first_name": "KATRINA",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-27",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A150816",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35.127603",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD60931788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercer Island, WA

Sources for this page

Verify at the official NPI Registry.