Active NPI
Susan Lynn Knowlton, MD
- Anesthesiology Physician
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD00048622
- Practice address
- 315 Martin Luther King Jr Way
Tacoma, WA 98405-4234 - Phone
- (253) 274-1661
- NPI assigned
- Feb 16, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD00048622 | WA | Primary |
Addresses
Primary practice location
315 Martin Luther King Jr Way
Tacoma, WA 98405-4234
Mailing address
314 Martin Luther King Jr Way
Tacoma, WA 98405-4250
Phone (253) 274-1661
Other practice location 1
1717 S J St
Tacoma, WA 98405-4933
Phone (253) 426-6341
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1060625 | Medicaid | WA |
Other names 1
- Susan Lynn Lundberg
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Washington School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1608 S J St
Tacoma, WA 98405-4930
1617 S J St
Tacoma, WA 98405-4930
Phone (253) 426-6306
1717 S J St
Tacoma, WA 98405-4933
Phone (253) 426-6341
1812 S J St
Suite 120
Tacoma, WA 98405-4965
Phone (253) 428-2200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00048622 | WA | MD | Anesthesiology Physician |
| 1838 | WI | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Medical Group | Current | Accepting new patients | |
| Gundersen Lutheran Medical Center, Inc | Current | Accepting new patients | |
| Tacoma Anesthesia Associates Inc PS | Anesthesiology | Current | Accepting new patients |
| Gundersen Lutheran Medical Center, Inc | Current | Accepting new patients | |
| Gundersen Lutheran Medical Center Inc | Current | Accepting new patients | |
| Franciscan Medical Group | Current | Accepting new patients | |
| Franciscan Medical Group | Current | Accepting new patients | |
| Northwest Anesthesiologists, PS | Anesthesiology | Past | Accepting new patients |
Locations
1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101
1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200
315 S K St
Tacoma, WA 98405
Phone (253) 403-1291
1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102
1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287
Organizations & group practices 8
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.
-
- Orthopaedic Surgery Physician
- Silverdale, WA
- NPI 1093165334
-
- Anesthesiology Physician
- Tacoma, WA
- NPI 1447227814
-
- Clinic/Center
- La Crosse, WI
- NPI 1225873458
-
- Family Medicine Physician
- Tacoma, WA
- NPI 1366539421
-
- Internal Medicine Physician
- Silverdale, WA
- NPI 1710432612
-
- Clinic/Center
- La Crosse, WI
- NPI 1619210895
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Onalaska, WI
- NPI 1871837567
-
- Anesthesiology Physician
- Seattle, WA
- NPI 1932157625
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1124291117
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1952309098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748563200000",
"number": "1881738508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 MARTIN LUTHER KING JR WAY",
"city": "TACOMA",
"state": "WA",
"postal_code": "984054250",
"telephone_number": "253-274-1661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 MARTIN LUTHER KING JR WAY",
"city": "TACOMA",
"state": "WA",
"postal_code": "984054234",
"telephone_number": "253-274-1661"
}
],
"practiceLocations": [
{
"address_1": "1717 S J St",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984054933",
"country_code": "US",
"telephone_number": "253-426-6341",
"fax_number": "253-426-6344",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KNOWLTON",
"first_name": "SUSAN",
"middle_name": "LYNN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-16",
"last_updated": "2025-05-30",
"certification_date": "2025-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WA",
"license": "MD00048622",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1060625",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "LUNDBERG",
"middle_name": "LYNN",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.