DR. KRISTIN J LINDSTROM (NPI# 1679722680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679722680 |
Entity Type | Individual |
Full Name | DR. KRISTIN J LINDSTROM |
Credential | PYSD |
Practice Address |
9040 Jackson Ave Tacoma WA 98431-0001 |
Practice Telephone | 2539660989 |
Mailing Telephone | 2539660989 |
Enumeration Date | 2008-09-15 |
Last Update Date | 2019-03-12 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103T00000X | Psychologist | PY60225144 | WA | Behavioral Health & Social Service Providers |
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY60225144 | WA | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
2-2 Ebh Bldg R1880 10th St, Joint Base Lewis Mcchord, Joint Base Lewis Mcchord, WA 98433 | 2539660989 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396120051 | Kristin Lindstrom | Specialist | 4000 16th Ave, Kenosha, WI 53140-2445 | 2015-07-23 |
1306023593 | Kristin E Lindstrom | Medical Genetics | 1920 E Cambridge Ave Ste 304, Phoenix, AZ 85006-1464 | 2008-01-30 |
Street Address |
9040 JACKSON AVE |
City | TACOMA |
State | WA |
Zip Code | 98431-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356345185 | John E Buonora | Nurse Anesthetist, Certified Registered | 9040 Jackson Ave, Tacoma, WA 98431-2025 | 2005-06-09 |
1629675251 | Brian Rankin | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-10-06 |
1508473869 | Allyssa Lynn Borak | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-30 |
1093322299 | Jessica Granger | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-30 |
1134736481 | Rebecca Reinhardt | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-29 |
1184238479 | Mark Nash | Physical Therapist | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-03 |
1679191969 | Christopher A Land | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-07-13 |
1396362604 | Valerie Kruger | Genetic Counselor, MS | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-07-02 |
1255958724 | Michael Wong | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-07-01 |
1841813391 | Kailey Utley | Optometrist | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-05-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
Find all providers in zip 98431 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760097497 | Laetitia Geoffroy-dallery | Psychologist | 6425 S Cheyenne St, Tacoma, WA 98409-1633 | 2020-09-10 |
1780199125 | Christopher Edwards | Psychologist | 1500 N Warner St Stop 1035, Tacoma, WA 98416-1035 | 2017-12-07 |
1184134314 | Colleen Rustad | Psychologist | 3224 6th Ave, Tacoma, WA 98406-5902 | 2017-10-02 |
1174983316 | Troy Allen Robison | Psychologist | 9600 Veterans Dr Sw # A-116atc, Tacoma, WA 98493-5000 | 2016-03-01 |
1447618053 | Llc Courage 2b | Psychologist | 1764 N James St, Tacoma, WA 98406-1508 | 2016-02-10 |
1326415472 | Sean Morrison | Psychologist | 708 Broadway Ste 170, Tacoma, WA 98402-3778 | 2015-08-25 |
1386981850 | Larry D Pruitt | Psychologist | 9933 W Hayes St Madigan Anx, Joint Base Lewis Mcchord, Tacoma, WA 98431-0001 | 2013-01-03 |
1740541945 | Quyen Bich Nguyen | Psychologist | 4301 S Pine St Ste 30-07, Tacoma, WA 98409-9123 | 2012-06-04 |
1518245679 | Christmas Covell | Psychologist | 2105 N 30th St, Tacoma, WA 98403-3318 | 2011-07-22 |
1790089001 | Maurice Patrick O'connor | Psychologist | 321 E 25th St, Tacoma, WA 98421-1300 | 2010-12-29 |
Find all providers in TACOMA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.