Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083312904 Individual Practitioner Female Practitioner

Dr. Kristin Marie Clark , MD

General Practice • Tacoma, WA

Professional Overview & Biography Verified Profile Summary

Dr. Kristin Clark, MD is a registered healthcare professional specializing in General Practice in Tacoma, WA. Practice services are available at 9040 JACKSON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9040 Jackson Ave

Tacoma, WA 984310001

Telephone 2539683105
Associated Practice Facility / Clinic
🏢 Defense Finance & Actg Serv Facility NPI 1992784144

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Tacoma, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.9 Yrs
State Avg: 30.0 Yrs
Regional Practice Density
170 Specialists

Practicing in Tacoma, WA (423 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-11-13
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License VA 0101284165

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Military Health Care Provider

NUCC Taxonomy Code: 171000000X

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Secondary Practice Locations

325 9th Ave

Seattle, WA 981042499

Phone: 2067443000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

29 Associated Practitioners
Reagan Di Iorio

General Practice

NPI 1043075534
Dr. Brooklyn Williams , DO

Military Health Care Provider

NPI 1053067082

Doctor of Osteopathic Medicine (D.O.)

Dr. Zachary Long , MD

General Practice

NPI 1063115764

Doctor of Medicine (M.D.)

James Rogers

Military Health Care Provider

NPI 1063363745
NPI 1093308819

Doctor of Medicine (M.D.)

Alexander Brundage

General Practice

NPI 1093570319

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
👤
Provider Name / Credentials Updated August 09, 2023

Recorded as KRISTIN CLARK, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2023

Military Health Care Provider

NPI Profile Active February 20, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location February 20, 2023

Registered at 9040 JACKSON AVE, TACOMA, WA 984310001 (Tel: 2539683105)

📍
Updated Business Mailing Address February 20, 2023

Registered at 9040 JACKSON AVE, TACOMA, WA 984310001 (Tel: 2539683105)

👤
Provider Name / Credentials Updated February 20, 2023

Recorded as KRISTIN BURNHAM, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration February 20, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083312904
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 20, 2023
Last Update: November 13, 2024
Sole Proprietor: No

Mailing Address

9040 Jackson Ave

Tacoma, WA 984310001

Phone: 2539683105

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.