Individual provider Active NPI

Kari Wallace, ARNP

  • Nurse Practitioner
  • Spokane Valley, WA
National Provider Identifier
1922709765
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP61387648 Issued in WA
Practice address
13424 E Mission Ave
Spokane Valley, WA 99216-2759
Phone
(509) 321-4980
NPI assigned
Mar 16, 2023
Last updated
Mar 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP61387648 WA Primary

Addresses

Primary practice location

13424 E Mission Ave
Spokane Valley, WA 99216-2759

Mailing address

715 E Westcrest Rd
Colbert, WA 99005-8724

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230829001678 WA Practitioner - Nurse Practitioner 9537522248 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Oncology Associates PSGroup PAC ID 6901890243, 10 clinicians

Practice addresses (Care Compare)

13424 E Mission Ave
Spokane Valley, WA 99216-2759
Phone (509) 462-2273

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Oncology Associates, P.S. Current Accepting new patients
Spokane Urology PLLC CurrentSince Jun 1, 2025 Accepting new patients
Medical Oncology Associates, PS CurrentSince Jul 15, 2023 Accepting new patients
Spokane Urology PLLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

143 Garden Homes Dr
Colville, WA 99114
Phone (509) 684-3701

1401 E Trent Ave
Ste 200
Spokane, WA 99202
Phone (509) 747-3147

6001 N Mayfair St
Spokane, WA 99208
Phone (509) 455-9550

Interoperability endpoints

  • Direct secure messaging: kwallace@scc.direct.varian.com

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1922709765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 E WESTCREST RD",
            "city": "COLBERT",
            "state": "WA",
            "postal_code": "990058724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13424 E MISSION AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992162759",
            "telephone_number": "509-321-4980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "KARI",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61387648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

Verify at the official NPI Registry.