Kristi King, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY00001607 Issued in WA

Practice address

513 223Rd PL SE
Bothell, WA 98021-8291

Phone

(206) 979-8177

NPI assigned

Sep 13, 2006

Last updated

May 25, 2023By 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

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

University of Rochester School of Medicine and Dentistry, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Kristi M King PHD PS

  • Clinical Psychologist
  • Bothell, WA
  • NPI 1063771541
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1912002064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 223RD PL SE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980218291",
            "telephone_number": "206-979-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 223RD PL SE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980218291",
            "telephone_number": "206-979-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "KRISTI",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00001607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mi Hyeon Kim, RN,MN BSN
• Karin Elke Kimbrough, LMP
• King County Public Hospital District No 2 (EvergreenHealth Lakeshore Bothell)
• King County Public Hospital District No 2 (EHPC Lakeshore)
• King County Public Hospital District No 2 (EvergreenHealth Medical Group Snohomish County)
• Patricia Judith King, LMHC, CMHS
• Kingco Strength PLLC (Kingco Strength & Physical Therapy)
• Maureen Kirika
• Jeanette Klaber, OT
• Rivka Elyse Klaff, PHARMD

• Clinical Psychologist in Bothell, WA
• Providers in Bothell, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.