Active NPI
Kristen King Skinner, ARNP
- Nurse Practitioner
- Baltimore, MD
National Provider Identifier
1730622408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP60699168
- Practice address
- 10 N Greene St
Baltimore, MD 21201-1524 - Phone
- (410) 605-7000
- NPI assigned
- Nov 29, 2016
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN60696431 | WA | |
| Registered Nurse | 163W00000X | 1-143154 | AL | |
| Nurse Practitioner | 363L00000X | AP60699168 | WA | Primary |
Addresses
Primary practice location
10 N Greene St
Baltimore, MD 21201-1524
Mailing address
10 N Greene St
Baltimore, MD 21201-1524
Phone (410) 605-7000
Other names 1
- Kristen Nicole King
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-143154 | AL | MD | Registered Nurse |
| RN60696431 | WA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Center for Pain Management LLC | Current | Accepting new patients | |
| Washington Center for Pain Management LLC | Current | Accepting new patients | |
| Sports and Spine | Past | Accepting new patients |
Locations
1900 116th Ave NE
Ste 100
Bellevue, WA 98004
Phone (425) 753-3174
120 14th Ave SE
Ste B
Puyallup, WA 98372
Phone (253) 845-0564
Organizations & group practices 3
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.
-
- Clinic/Center
- Puyallup, WA
- NPI 1194381905
-
- Pain Medicine Physician
- Bellevue, WA
- NPI 1265763999
-
- Clinic/Center
- Bellevue, WA
- NPI 1598255903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1730622408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 N GREENE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011524",
"telephone_number": "410-605-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 N GREENE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011524",
"telephone_number": "410-605-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKINNER",
"first_name": "KRISTEN",
"middle_name": "KING",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-29",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN60696431",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AL",
"license": "1-143154",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP60699168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTEN",
"last_name": "KING",
"middle_name": "NICOLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.