MISS KRISTIN LEE DEGROOT PA-C NPI 1427260504

NPI Information

NPI: 1427260504
Provider Name: MISS KRISTIN LEE DEGROOT, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
1959 NE PACIFIC ST
SEATTLE, WA
ZIP 98195
Phone: (206) 598-4477
Get Directions

MISS Kristin Lee Degroot, PA-C is a surgical physician assistant in Seattle, WA with 18 years of experience. MISS Kristin Lee Degroot, PA-C NPI is 1427260504. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1959 NE PACIFIC ST
SEATTLE, WA
ZIP 98195-001
Phone: (206) 598-4477

The NPI 1427260504 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 10/21/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		PA10005166	WASHINGTON	No
2	363AS0400X	Physician Assistant	Surgical	PA10005166	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1427260504	MEDICAID	WASHINGTON
2	1057618	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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