Krysta Lee Shove, L.M.P.
Specialist in Lynnwood, WA. Individual provider (NPI-1).
NPI number1144518978
StatusActive
Last updated in NPPESJul 13, 2011
Details
- NPI
- 1144518978
- Entity type
- Individual (NPI-1)
- Name
- Krysta Lee Shove
- Credential
- L.M.P.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2011
- Last updated
- Jul 13, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | MA60214993 | WA | Yes |
Practice location
16303 Hwy 99Suite 2b
Lynnwood, WA 98087-1453
Phone 425-242-4884 · Fax 425-743-9409
Mailing address
2141 N 113th StApt# 201
Seattle, WA 98133-8580
Phone 206-430-8355
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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