Kristin Ann Manning, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD00036581 Issued in WA

Practice address

19020 33Rd Ave W
Suite 210
Lynnwood, WA 98036-4748

Phone

(425) 563-1500

Fax

(425) 563-1501

NPI assigned

Jun 23, 2006

Last updated

Apr 12, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Diagnostic Radiology

Education

University of Arizona College of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Radia Inc P SGroup PAC ID 9931012812, 275 clinicians

Pet-CT Imaging at Swedish Cancer Institute LLCGroup PAC ID 5092736884, 14 clinicians

Radia Imaging Center Holdings LLCGroup PAC ID 6305182965, 43 clinicians

Swedish Health ServicesGroup PAC ID 3173433067, 156 clinicians

Swedish Radia Imaging Center at Edmonds LLCGroup PAC ID 5496778292, 115 clinicians

Swedish Health ServicesGroup PAC ID 9537072814, 384 clinicians

Optum Care Washington PLLCGroup PAC ID 6406752153, 684 clinicians

Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Swedish Medical Center Hospital, Seattle, WA, CCN 500027
• Swedish Issaquah Hospital, Issaquah, WA, CCN 500152
• Providence Regional Medical Center Everett Hospital, Everett, WA, CCN 500014
• Swedish Medical Center / Cherry Hill Hospital, Seattle, WA, CCN 500025
• Swedish Edmonds Hospital Hospital, Edmonds, WA, CCN 500026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 93)

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.

• Optum Care Washington PLLC

  • Multi-Specialty Clinic/Center
  • Everett, WA
  • NPI 1831186766
  Medicare reassignment Care Compare group NPD
• Pet-CT Imaging at Swedish Cancer Institute LLC

  • Diagnostic Radiology Physician
  • Seattle, WA
  • NPI 1013920644
  Medicare reassignment Care Compare group NPD
• Radia Imaging Center Holdings LLC

  dba Seattle Radiology

  • Diagnostic Radiology Physician
  • Seattle, WA
  • NPI 1639653017
  Medicare reassignment Care Compare group NPD
• Radia Inc P S

  dba Radia

  • Diagnostic Radiology Physician
  • Lynnwood, WA
  • NPI 1932196607
  Medicare reassignment Care Compare group NPD
• Swedish Health Services

  dba Swedish Imaging Clinics

  • Body Imaging Physician
  • Everett, WA
  • NPI 1114356904
  Medicare reassignment Care Compare group NPD
• Swedish Health Services

  • Internal Medicine Physician
  • Seattle, WA
  • NPI 1689612954
  Medicare reassignment Care Compare group NPD
• Swedish Health Services

  • Family Medicine Physician
  • Seattle, WA
  • NPI 1831139724
  Medicare reassignment Care Compare group NPD
• Swedish Radia Imaging Center at Edmonds LLC

  dba Swedish Radia Edmonds

  • Diagnostic Radiology Physician
  • Edmonds, WA
  • NPI 1164494373
  Medicare reassignment Care Compare group NPD
• Evergreen Radia LLC

  dba Evergreen Radia

  • Diagnostic Radiology Physician
  • Kirkland, WA
  • NPI 1922095694
  Medicare reassignment NPD
• Optum Care Washington PLLC

  • Durable Medical Equipment & Medical Supplies
  • Marysville, WA
  • NPI 1194428425
  NPD
• Radia Inc P S

  dba Radia

  • Diagnostic Radiology Physician
  • Lynnwood, WA
  • NPI 1700045572
  NPD
• Seattle Radiologists, a Professional Corporation

  • Radiology Practitioner Assistant
  • Seattle, WA
  • NPI 1700152816
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Providence Health & Services-Wa

  dba Providence Regional Medical Center Everett

  • Hospitalist Physician
  • Everett, WA
  • NPI 1649615220
  Care Compare affiliation
• Providence Health & Services-Wa

  • General Acute Care Hospital
  • Everett, WA
  • NPI 1700037801
  Care Compare affiliation
• Swedish Edmonds

  • General Acute Care Hospital
  • Edmonds, WA
  • NPI 1033107214
  Care Compare affiliation
• Swedish Edmonds

  • Clinical Medical Laboratory
  • Edmonds, WA
  • NPI 1699894022

  Hospital

  Care Compare affiliation
• Swedish Health Services

  • General Acute Care Hospital
  • Seattle, WA
  • NPI 1306992151
  Care Compare affiliation
• Swedish Health Services

  dba Swedish Medical Center, Cherry Hill

  • General Acute Care Hospital
  • Seattle, WA
  • NPI 1356496582
  Care Compare affiliation
• Swedish Health Services

  dba Swedish/Issaquah

  • General Acute Care Hospital
  • Issaquah, WA
  • NPI 1851686059
  Care Compare affiliation

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1831125889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W",
            "address_2": "SUITE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364748",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W",
            "address_2": "SUITE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364748",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "KRISTIN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00036581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8263097",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019972",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raisa Rubenovna Mangasarova
• Paula Marie Mangor
• Chitra Manickam, MD
• Michelle Manire
• Hadiya Manners
• Mary E Manning, RPH
• Manor Care of Lynnwood Wa, Association (ProMedica Skilled Nursing and Rehabilitation (Lynnwood))
• Sushmita Mantravadi, MD
• Maraki Nursing Care Services (Trusted Hands Private Duty Nurse)
• Olivia Grace Marbet

• Diagnostic Radiology Physician in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Diagnostic Radiology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; 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.

Verify at the official NPI Registry.