Active NPI
Katrina Marie Spaunhurst, M.D.
- Dermatology Physician
- Mercer Island, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD60931788
- 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, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Promoting interoperability
- 89
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 167 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 70 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A150816 | CA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epiphany Dermatology of Washington PLLC | Dermatology | Current | 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
- katrina.spaunhurst@epiphanyderm.emadirect.md
- 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.
-
- Dermatology Physician
- Mercer Island, WA
- NPI 1053142778
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
- Celina Solomon, ATC
- Sonja Bradford, Ms CCC-SLP, PLLC (Mercer Island Speech Pathology)
- Soper Enterprises Mercer Island, PLLC (Advanced Orthodontics Mercer Island)
- Sound Children's Therapy PLLC
- Christina Sparker, OTR/L
- Zoe Marie Spranger, LSW
- Mindy Stern, LSW
- Kevin Stordahl
- Steven Alva Strausz
- Matthew Thomas Streelman, DDS, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.