Active NPI
Kristin Hynes Grady, ARNP
- Nurse Practitioner
- Seattle, WA
National Provider Identifier
1932294592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP30006288
- Practice address
- 1660 South Columbian Way
111-Onc
Seattle, WA 98108 - Phone
- (206) 764-2414
- NPI assigned
- Oct 3, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP30006288 | WA | Primary |
Addresses
Primary practice location
1660 South Columbian Way
111-Onc
Seattle, WA 98108
Mailing address
933 22ND Avenue
Seattle, WA 98122
Phone (206) 324-2562
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200423001944 | WA | Order and Referring Only - Nurse Practitioner | 9335579887 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481155200000",
"number": "1932294592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "933 22ND AVENUE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98122",
"telephone_number": "206-324-2562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1660 SOUTH COLUMBIAN WAY",
"address_2": "111-ONC",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98108",
"telephone_number": "206-764-2414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRADY",
"first_name": "KRISTIN",
"middle_name": "HYNES",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2016-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP30006288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.