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MT. SPOKANE PEDIATRICS PLLC NPI 1477934578


NPI Information

NPI: 1477934578
Provider Name: MT. SPOKANE PEDIATRICS, PLLC

Doing Business As: MT. SPOKANE PEDIATRICS

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 50D2098125

Address:
759 E HOLLAND AVE
SPOKANE, WA
ZIP 99218
Phone: (509) 270-0065
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MT. SPOKANE PEDIATRICS, PLLC is a multi-specialty clinic center in Spokane, WA. MT. SPOKANE PEDIATRICS, PLLC NPI is 1477934578. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Mt. Spokane Pediatrics.

The provider's business location address is:

759 E HOLLAND AVE
SPOKANE, WA
ZIP 99218-257
Phone: (509) 270-0065
Fax: (509) 319-2520

The provider's authorized official is Nicole Smith .
The authorized official title is Practice Manager and has the following contact phone number (509) 270-0065.

The CLIA number assigned to this NPI record is 50D2098125 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/15/2015 and was last updated on 11/7/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1224Z00000XOccupational Therapy AssistantNo
2225XF0002XOccupational TherapistFeeding, Eating & SwallowingNo
3225XP0200XOccupational TherapistPediatricsNo
42355S0801XSpecialist/TechnologistSpeech-Language AssistantNo
5235Z00000XSpeech-Language PathologistNo
6332B00000XDurable Medical Equipment & Medical SuppliesNo
7332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentNo
8363L00000XNurse PractitionerNo
9363LA2100XNurse PractitionerAcute CareNo
10363LF0000XNurse PractitionerFamilyNo
11363LP0200XNurse PractitionerPediatricsNo
12363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
13363LP2300XNurse PractitionerPrimary CareNo
14363LX0106XNurse PractitionerOccupational HealthNo
15261QM1300XClinic/CenterMulti-SpecialtyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11447988530OTHERWASHINGTONNPI
21477934578OTHERWASHINGTONNPI
31609330992OTHERWASHINGTONNPI
41154959484OTHERWASHINGTONSLP
51588902597OTHERWASHINGTONNPI
6AP61109016OTHERWASHINGTONARNP
7AP61351087OTHERWASHINGTONARNP
81043822372OTHERWASHINGTONNPI
91831681683OTHERWASHINGTONNPI
101851870745OTHERWASHINGTONNPI
111861939910OTHERWASHINGTONNPI
12AP60864435OTHERWASHINGTONARNP
13OT60064658OTHERWASHINGTONOT
141083366991OTHERWASHINGTONNPI
151851024582OTHERWASHINGTONNPI
16AP60228997OTHERWASHINGTONARNP
171578875076OTHERWASHINGTONNPI
18AP60327358OTHERWASHINGTONARNP
19AP61224996OTHERWASHINGTONARNP
20OT60869302OTHERWASHINGTONOT
211205394335OTHERWASHINGTONNPI
221336412311OTHERWASHINGTONOT
231942935069OTHERWASHINGTONNPI
24AP61338441OTHERWASHINGTONARNP
25PT60630044OTHERWASHINGTONPT
261588264287OTHERWASHINGTONNPI
271972142685OTHERWASHINGTONNPI
28AP60929537OTHERWASHINGTONARNP
29AP61091392OTHERWASHINGTONARNP
30AP61335304OTHERWASHINGTONARNP
311376830299OTHERWASHINGTONNPI
32AP60919324OTHERWASHINGTONARNP
33AP60942013OTHERWASHINGTONARNP
34AP61315755OTHERWASHINGTONARNP
35SI61064749OTHERWASHINGTONSLP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024
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All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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