Active NPI
Kristine Sandt
- Counselor
- Seattle, WA
National Provider Identifier
1942021761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 61364813
- Practice address
- 2719 E Madison St Ste 200
Seattle, WA 98112-4752 - Phone
- (253) 230-8678
- NPI assigned
- Oct 23, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 61364813 | WA | Primary |
Addresses
Primary practice location
2719 E Madison St Ste 200
Seattle, WA 98112-4752
Mailing address
4520 SW 321St St Apt S6
Federal Way, WA 98023-2467
Phone (253) 230-8678
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61364813 | WA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1942021761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4520 SW 321ST ST APT S6",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980232467",
"telephone_number": "253-230-8678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2719 E MADISON ST STE 200",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981124752",
"telephone_number": "253-230-8678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDT",
"first_name": "KRISTINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-23",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "61364813",
"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 Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.