NPIMap

Individual provider Active NPI

Kristin Ruth Grant, M.D.

  • Diagnostic Radiology Physician
  • Arlington, WA
National Provider Identifier
1831361542
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD60183300 Issued in WA
Practice address
330 S Stillaguamish Ave
Department of Radiology
Arlington, WA 98223-1642
Phone
(360) 618-7614
NPI assigned
Apr 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 47789-020 WI
Diagnostic Radiology Physician 2085R0202X MD60183300 WA Primary
Diagnostic Radiology Physician 2085R0202X MD12835 RI

Addresses

Primary practice location

330 S Stillaguamish Ave
Department of Radiology
Arlington, WA 98223-1642

Mailing address

PO Box 6725
Bellevue, WA 98008-0725
Phone (425) 649-7540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, AK2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110519000314 WA Practitioner - Diagnostic Radiology 0345313623 Reassigns benefits to 9 organizations
I20190325001640 AK Practitioner - Diagnostic Radiology 0345313623 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Wisconsin School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Whidbey Island Public Hospital DistrictGroup PAC ID 1658280680, 100 clinicians
Fairbanks Medical Imaging LLCGroup PAC ID 4082894407, 28 clinicians
Skagit Radiology Inc P SGroup PAC ID 7113815218, 39 clinicians
North Star Medical Imaging PLLCGroup PAC ID 7214005099, 30 clinicians
Skagit Digital Imaging LLCGroup PAC ID 4486543204, 29 clinicians
Bellingham Advanced Medical Imaging LLCGroup PAC ID 9739446824, 27 clinicians
Jefferson County Public Hospital District No 2Group PAC ID 4789593708, 151 clinicians

Practice addresses (Care Compare)

101 N Main St
Coupeville, WA 98239-3413

1211 24TH St
Anacortes, WA 98221-2562
Phone (360) 678-5151

1300 NE Goldie St
Oak Harbor, WA 98277-4832

1320 E Division St
Mount Vernon, WA 98274-4133
Phone (360) 678-5151

1344 King St
Suite 101
Bellingham, WA 98229-6215
Phone (360) 424-6161

1415 E Kincaid St
Mount Vernon, WA 98274-4126
Phone (360) 424-6161

2310 Peger Rd
Suite 102
Fairbanks, AK 99709-5305
Phone (360) 424-6161

250 Hospital PL
Soldotna, AK 99669-7559
Phone (360) 424-6161

330 S Stillaguamish Ave
Arlington, WA 98223-1642
Phone (360) 424-6161

3822 Colby Ave
Suite 100
Everett, WA 98201-4913
Phone (360) 424-6161

834 Sheridan St
Port Townsend, WA 98368-2443
Phone (360) 385-2200

Hospital & facility affiliations

  • Skagit Valley Hospital Hospital, Mount Vernon, WA, CCN 500003
  • Central Peninsula General Hospital Hospital, Soldotna, AK, CCN 020024
  • Island Hospital Hospital, Anacortes, WA, CCN 500007
  • Whidbeyhealth Medical Center Hospital, Coupeville, WA, CCN 501339
  • Cascade Valley Hospital Hospital, Arlington, WA, CCN 500060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
47789-020WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iliuliuk Family and Health Services Inc CurrentSince May 1, 2023 Accepting new patients
Fairbanks Medical Imaging LLC Diagnostic Radiology CurrentSince Feb 1, 2019 Accepting new patients
North Star Medical Imaging PLLC Diagnostic Radiology CurrentSince Feb 1, 2019 Accepting new patients
Jefferson County Public Hospital District No 2 CurrentSince Nov 1, 2022 Accepting new patients
Western Washington Medical Group, Inc PS CurrentSince Jun 28, 2024 Accepting new patients
Skagit Radiology Inc P S Diagnostic Radiology CurrentSince Feb 1, 2019 Accepting new patients
Whidbey Island Public Hospital District Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
Whidbey Island Public Hospital District Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
Whidbey Island Public Hospital District Current Accepting new patients
Bellingham Advanced Medical Imaging LLC Diagnostic Radiology CurrentSince Feb 1, 2019 Accepting new patients
Whidbey Island Public Hospital District CurrentSince Jun 1, 2020 Accepting new patients
Diagnostic Radiology Consultants, Inc. P.S. Diagnostic Radiology Past Accepting new patients
Iliuliuk Family &Health Services, Inc. Past Accepting new patients
Stat Anesthesia Specialists, LTD. Past Accepting new patients
Rhode Island Medical Imaging Inc Diagnostic Radiology PastSince Jun 26, 2022 Accepting new patients
Rhode Island Medical Imaging Inc Diagnostic Radiology Past Accepting new patients

Locations

2310 Peger Rd
Ste 102
Fairbanks, AK 99709

250 Hospital Pl
Soldotna, AK 99669
Phone (907) 714-4404

1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181

330 S Stillaguamish Ave
Arlington, WA 98223
Phone (360) 435-2133

1344 King St
Ste 101
Bellingham, WA 98229
Phone (360) 676-6393

101 N Main St
Coupeville, WA 98239
Phone (360) 678-7656

1320 E Division St
Mount Vernon, WA 98274
Phone (360) 424-9607

1415 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 416-5750

1200 W Sims Way
Ste C
Port Townsend, WA 98368
Phone (360) 385-6297

834 Sheridan St
Port Townsend, WA 98368
Phone (360) 344-0400

Organizations & group practices 38

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.

View all 38

Hospital & facility affiliations 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304380800000",
    "number": "1831361542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6725",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980080725",
            "telephone_number": "425-649-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S STILLAGUAMISH AVE",
            "address_2": "DEPARTMENT OF RADIOLOGY",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982231642",
            "telephone_number": "360-618-7614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "KRISTIN",
        "middle_name": "RUTH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-02",
        "last_updated": "2011-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "47789-020",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD60183300",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "RI",
            "license": "MD12835",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, WA

Sources for this page

Verify at the official NPI Registry.