Active NPI
Kelsey Runft, PA
- Physician Assistant
- Redmond, WA
National Provider Identifier
1982219267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA61096451
- Practice address
- 3925 159TH Ave NE
Redmond, WA 98052-6309 - Phone
- (425) 216-0550
- NPI assigned
- Sep 13, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA57861 | CA | |
| Physician Assistant | 363A00000X | PA61096451 | WA | Primary |
Addresses
Primary practice location
3925 159TH Ave NE
Redmond, WA 98052-6309
Mailing address
3925 159TH Ave NE
Redmond, WA 98052-6309
Phone (425) 216-0550
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA57861 | CA | MD | Physician Assistant |
| PA61096451 | WA | MD | Physician Assistant |
Interoperability endpoints
- kelsey.runft@70976835354628.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626739200000",
"number": "1982219267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3925 159TH AVE NE",
"city": "REDMOND",
"state": "WA",
"postal_code": "980526309",
"telephone_number": "425-216-0550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3925 159TH AVE NE",
"city": "REDMOND",
"state": "WA",
"postal_code": "980526309",
"telephone_number": "425-216-0550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUNFT",
"first_name": "KELSEY",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-13",
"last_updated": "2021-07-20",
"certification_date": "2021-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA57861",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA61096451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.