Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Krystal Kim Rose

Individual provider Peer Specialist · NPI 1366179947

Krystal Kim Rose is a Peer Specialist in Spokane, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2022
Specialties on file
2

Practice location Address checks out

5901 N Lidgerwood St Ste 115
Spokane, WA 99208-1122
Phone: (509) 838-4561
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence CG61350349 (WA)
Peer Specialist Taxonomy 175T00000X

Record details

NPI number1366179947
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 4, 2022
Last updated in NPPESMay 19, 2023
Certification dateMay 19, 2023
Mailing address107 S Division St, Spokane, WA 99202-1510

Other providers in Spokane