Individual provider Active NPI

Kiersten Stintzi, PHARMD

  • Pharmacist
  • Spokane, WA
National Provider Identifier
1700669603
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH61449788 Issued in WA
Practice address
412 E Spokane Falls Blvd
Spokane, WA 99202-2131
Phone
(509) 358-7500
NPI assigned
Aug 15, 2023
Last updated
Aug 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X P10788 ID
Pharmacist 183500000X PH61449788 WA Primary

Addresses

Primary practice location

412 E Spokane Falls Blvd
Spokane, WA 99202-2131

Mailing address

3227 E 19TH Ave
Spokane, WA 99223-3822
Phone (253) 225-1720

Other practice location 1

3227 E 19th Ave
Spokane, WA 99223-3822
Phone (253) 225-1720

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
P10788IDMDPharmacist
PH61449788WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
New Health Programs Association Past Accepting new patients
New Health Programs Association Past Accepting new patients

Organizations & group practices 2

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": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1700669603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3227 E 19TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992233822",
            "telephone_number": "253-225-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 E SPOKANE FALLS BLVD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022131",
            "telephone_number": "509-358-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3227 E 19th Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992233822",
            "country_code": "US",
            "telephone_number": "253-225-1720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STINTZI",
        "first_name": "KIERSTEN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P10788",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH61449788",
            "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 Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.