MT. SPOKANE PEDIATRICS, PLLC (NPI# 1477934578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477934578 |
| Entity Type | Organization |
| Organization Name | MT. SPOKANE PEDIATRICS, PLLC |
| Other Organization Name | MT. SPOKANE PEDIATRICS |
| Practice Address |
9425 N Nevada St Suite 104 Spokane WA 99218-5014 |
| Mailing Address |
9425 N Nevada St Ste 300 Spokane WA 99218-1286 |
| Practice Telephone | 5092700065 |
| Practice Fax Number | 5093192520 |
| Mailing Telephone | 5092700065 |
| Mailing Fax Number | 5093192520 |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2020-09-29 |
| Authorized Official Name | NICOLE SMITH (PRACTICE MANAGER) |
| Authorized Official Telephone | 5092700065 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 224Z00000X | Occupational Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225XF0002X |
Occupational Therapist Specialization: Feeding, Eating & Swallowing |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
Speech, Language and Hearing Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LX0106X |
Nurse Practitioner Specialization: Occupational Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | NPI | 1144306549 | 01 |
| WA | SLP | 1154959484 | 01 |
| WA | NPI | 1649755711 | 01 |
| WA | NPI | 1043822372 | 01 |
| WA | ARNP | 1497376784 | 01 |
| WA | ARNP | AP60904961 | 01 |
| WA | ARNP | AP60919324 | 01 |
| WA | OT | OT61029052 | 01 |
| WA | NPI | 1780216986 | 01 |
| WA | ARNP | AP60901520 | 01 |
| WA | ARNP | AP60929537 | 01 |
| WA | PT | PT60908327 | 01 |
| WA | ARNP | AP61056557 | 01 |
| WA | SLP | LL6108975 | 01 |
| WA | OT | 1336412311 | 01 |
| WA | NPI | 1558993089 | 01 |
| WA | NPI | 1588902597 | 01 |
| WA | ARNP | AP60228997 | 01 |
| WA | ARNP | AP60327358 | 01 |
| WA | OT | OT60064658 | 01 |
| WA | NPI | 1477934578 | 01 |
| WA | NPI | 1609330992 | 01 |
| WA | NPI | 1861939910 | 01 |
| WA | NPI | 1376830299 | 01 |
| WA | ARNP | AP60755101 | 01 |
| WA | ARNP | AP61091392 | 01 |
| WA | SLP | SI61064749 | 01 |
| WA | NPI | 1073049706 | 01 |
| WA | PT | 1770048118 | 01 |
| Other Name | Type Code |
|---|---|
| MT Spokane Pediatrics PLLC | Doing Business As Name - Organization |
| Mt. Spokane Pediatrics | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11915 E Broadway Ave Ste 100, Spokane Valley, WA 992064997 | 5092700065 | 5093192520 |
| 9425 N Nevada St Ste 211, Spokane, WA 992185014 | 5092700065 | 5093192520 |
| 9425 N Nevada St Ste 300, Spokane, WA 992181286 | 5092700065 | 5093192520 |
| Street Address |
9425 N NEVADA ST SUITE 104 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99218-5014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578797791 | Women's Health Connection Ambulatory Surgery Center | Clinic/Center | 9425 N Nevada St, Suite 300, Spokane, WA 99218-5014 | 2009-05-04 |
| 1558993089 | Jolanta Grzybowski | Speech-Language Pathologist | 9425 N Nevada St, Spokane, WA 99218-5014 | 2020-02-12 |
| 1780216986 | Marisa A Kendo | Occupational Therapist | 9425 N Nevada St, Spokane, WA 99218-5014 | 2020-02-06 |
| 1891353041 | Sierra Nicole Dixon | Occupational Therapist | 9425 N Nevada St, Spokane, WA 99218-5014 | 2019-06-03 |
| 1609266121 | Ashton Wegeleben | Physician Assistant | 9425 N Nevada St, Suite 300, Spokane, WA 99218-5014 | 2015-02-04 |
| 1790025203 | Ajuva Medical Aesthetics, Pllc | Dietitian, Registered | 9425 N Nevada St, Suite 300, Spokane, WA 99218-5014 | 2013-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891282455 | Timary Mathena | Specialist/Technologist | 11107 North Astor Road, Spokane, WA 99218 | 2018-04-19 |
| 1619423316 | Hi5 Orthodontics | Clinic/Center | 9425 N Nevaa, Suite 100, Spokane, WA 99218 | 2016-09-01 |
| 1245689389 | Heather Beats | Massage Therapist | 101 E. Hastings Rd. Ste G, Spokane, WA 99218 | 2016-06-09 |
| 1770979411 | Sparks Massage LLC-dba Elements Masssage | Massage Therapist | 101 E. Hastings Rd., Spokane, WA 99218 | 2015-04-09 |
| 1902295363 | Annabelle Morgan | Midwife | 11725 N Lincoln Ct, Spokane, WA 99218 | 2015-01-22 |
| 1578967543 | Deana Marie Ray | Massage Therapist | 1231 N Division, Ste 105, Spokane, WA 99218 | 2014-10-20 |
| 1770909889 | Krista Dye | Occupational Therapist | 9827 N Nevada, Spokane, WA 99218 | 2014-03-13 |
| 1265855845 | Breanna Zeis | Massage Therapist | 624 W. Hastings, Suite 16, Spokane, WA 99218 | 2014-02-02 |
| 1730516642 | Christie Nygaard | Massage Therapist | 101 E. Hastings Rd, Spokane, WA 99218 | 2013-10-09 |
| 1629312749 | Michelle Reid | Community Health Worker | 10709 N Madison, Spokane, WA 99218 | 2012-11-15 |
| Find all providers in zip 99218 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822372 | Bryan Scott Lebo | Clinic/Center | 9425 N Nevada St Ste 300, Spokane, WA 99218-1286 | 2020-08-18 |
| 1518469147 | Inland Medical Evaluations | Clinic/Center | 323 E 2nd Ave, Spokane, WA 99202-1455 | 2018-02-28 |
| 1649561622 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 4102 S Regal St, Suite 101, Spokane, WA 99223-5083 | 2011-04-26 |
| 1104117183 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 6002 N Lidgerwood St, Spokane, WA 99208-1124 | 2011-04-26 |
| 1194016170 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 322 W North River Dr, Spokane, WA 99201-3208 | 2011-04-26 |
| 1669789228 | Northwest Spine and Pain Medicine, Pllc | Clinic/Center | 3124 S Regal St, Spokane, WA 99223-4704 | 2010-09-02 |
| 1518167923 | Spokane Spine Center PC | Clinic/Center | 124 E Rowan Ave, Suite 202, Spokane, WA 99207-1214 | 2007-07-23 |
| 1073720538 | Columbia Medical Associates, LLC | Clinic/Center | 1003 E Trent Ave, Suite 150, Spokane, WA 99202-2180 | 2007-05-16 |
| 1336186105 | Physicians Clinic of Spokane Ps | Clinic/Center | 820 S Mcclellan, #ll10, Spokane, WA 99204 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326676818 | Nocd Washington PC | Clinic/Center | 2320 130th Ave Ne Ste 110, Bellevue, WA 98005-1752 | 2020-03-30 |
| 1922635887 | Cascade Nurse Practitioners | Clinic/Center | 5409 100th St Sw Unit 39800, Lakewood, WA 98496-0970 | 2020-03-23 |
| 1942735667 | The Evergreen At Northpoint | Clinic/Center | 2111 N Northgate Way Ste 101, Seattle, WA 98133-9018 | 2017-05-01 |
| 1174061543 | Antares Wellness Pllc | Clinic/Center | 9319 7th Ave S, Seattle, WA 98108-4604 | 2017-02-06 |
| 1962852038 | Northwest Pain Relief Centers, LLC | Clinic/Center | 503 W Fir St, Suite D, Sequim, WA 98382-3210 | 2016-06-20 |
| 1851741698 | Marconi Chiropractic and Wellness | Clinic/Center | 11207 Mccutcheon Rd, Bonney Lake, WA 98391-8103 | 2016-06-13 |
| 1356738694 | Northwest Pain Relief Centers LLC | Clinic/Center | 7424 Bridgeport Way W Ste 305, Lakewood, WA 98499-8135 | 2015-04-24 |
| 1306231170 | Objective Medical Assessments Corp | Clinic/Center | 401 2nd Ave S, #110, Seattle, WA 98104-3858 | 2015-03-30 |
| 1477946754 | Rose Urgent Care and Family Practice | Clinic/Center | 650 N Devine Rd Ste B, Vancouver, WA 98661-6979 | 2015-03-11 |
| 1336549609 | Ranger Group Pllc | Clinic/Center | 16150 Ne 85th St Ste 110, Redmond, WA 98052-3541 | 2014-08-24 |
| Find all providers with the same taxonomy | ||||
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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.