Active NPI
Kristy Ann Waller, PHD RN BC-FHS
- Health & Wellness Coach
- Issaquah, WA
National Provider Identifier
1801704473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- License
- N-25844
- Practice address
- 967 Discovery Cir NE Unit 103
Issaquah, WA 98029-6223 - Phone
- (208) 252-5256
- NPI assigned
- Sep 1, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | N-25844 | ID | Primary |
Addresses
Primary practice location
967 Discovery Cir NE Unit 103
Issaquah, WA 98029-6223
Mailing address
In C/O Dave Johnson 620 N. Coles Loop
Post Falls, ID 83854
Phone (208) 252-5256
Other practice location 1
in c/o Dave Johnson 620 N. Coles Loop
Post Falls, ID 83854
Phone (208) 252-5256
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1801704473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "IN C/O DAVE JOHNSON 620 N. COLES LOOP",
"city": "POST FALLS",
"state": "ID",
"postal_code": "83854",
"telephone_number": "208-252-5256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "967 DISCOVERY CIR NE UNIT 103",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980296223",
"telephone_number": "208-252-5256"
}
],
"practiceLocations": [
{
"address_1": "in c/o Dave Johnson 620 N. Coles Loop",
"address_purpose": "LOCATION",
"city": "Post Falls",
"state": "ID",
"postal_code": "83854",
"country_code": "US",
"telephone_number": "208-252-5256",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALLER",
"first_name": "KRISTY",
"middle_name": "ANN",
"credential": "PHD RN BC-FHS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-01",
"last_updated": "2026-09-01",
"certification_date": "2026-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Health & Wellness Coach",
"state": "ID",
"license": "N-25844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.