Active NPI
Krista I Kinard, M.D.
- Ophthalmology Physician
- Spokane, WA
National Provider Identifier
1831332873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD60438099
- Practice address
- 427 S Bernard St
Spokane, WA 99204-2509 - Phone
- (509) 456-0107
- Fax
- (509) 747-2635
- NPI assigned
- Apr 7, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | MD60438099 | WA | |
| Ophthalmology Physician | 207W00000X | MD60438099 | WA | Primary |
Addresses
Primary practice location
427 S Bernard St
Spokane, WA 99204-2509
Mailing address
427 S Bernard St
Spokane, WA 99204-2509
Phone (509) 456-0107
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730187899 | Other | ID | GROUP MEDICAID |
| 000357600 | Other | WA | GROUP MEDICARE |
| 1730187899 | Other | WA | SPOKANE EYE CLINIC GROUP NPI |
Other names 1
- Krista Wagner
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60438099 | WA | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409702400000",
"number": "1831332873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "427 S BERNARD ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042509",
"telephone_number": "509-456-0107",
"fax_number": "509-747-2635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "427 S BERNARD ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042509",
"telephone_number": "509-456-0107",
"fax_number": "509-747-2635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINARD",
"first_name": "KRISTA",
"middle_name": "I",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-07",
"last_updated": "2014-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "WA",
"license": "MD60438099",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WA",
"license": "MD60438099",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICAID",
"identifier": "1730187899",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE",
"identifier": "000357600",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPOKANE EYE CLINIC GROUP NPI",
"identifier": "1730187899",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTA",
"last_name": "WAGNER",
"code": "1",
"type": "Former Name"
}
]
}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 Sep 3, 2014; 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.