Active NPI
Pinnacle Sleep and Wake Disorders Center,PLLC
- Durable Medical Equipment & Medical Supplies
- Richland, WA
National Provider Identifier
1013258979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- PINNACLE SLEEP AND WAKE DISORDERS CENTER,PLLC
- Practice address
- 1446 Spaulding Park Ste 301
Richland, WA 99352-4720 - Phone
- (509) 737-1447
- Fax
- (509) 737-1553
- NPI assigned
- Mar 1, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pamela Joan Watterson
- Title
- Credentialing Specialist
- Phone
- (509) 961-3849
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | WA | Primary |
Addresses
Primary practice location
1446 Spaulding Park Ste 301
Richland, WA 99352-4720
Mailing address
PO Box 8051
Yakima, WA 98908-0051
Phone (509) 961-3849
Other practice location 1
354 Chardonnay Ave
Prosser, WA 99350-9545
Phone (509) 737-1447
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467725226 | Medicaid | WA | |
| DT1624 | Other | WA | PALMETTO GBA |
National Provider Directory
National Provider Directory- Tax ID family
- Pinnacle Sleep Wake Disord
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Prosser, WA
- NPI 1669958500
-
- Durable Medical Equipment & Medical Supplies
- Prosser, WA
- NPI 1295377299
Locations
1446 Spaulding Ave
Ste 301
Richland, WA 99352
Phone (509) 737-1447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362096000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722902400000",
"number": "1013258979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8051",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989080051",
"telephone_number": "509-961-3849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1446 SPAULDING PARK STE 301",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993524720",
"telephone_number": "509-737-1447",
"fax_number": "509-737-1553"
}
],
"practiceLocations": [
{
"address_1": "354 Chardonnay Ave",
"address_purpose": "LOCATION",
"city": "Prosser",
"state": "WA",
"postal_code": "993509545",
"country_code": "US",
"telephone_number": "509-737-1447",
"fax_number": "509-737-1553",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PINNACLE SLEEP AND WAKE DISORDERS CENTER,PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-01",
"last_updated": "2024-08-06",
"certification_date": "2024-08-06",
"status": "A",
"authorized_official_last_name": "WATTERSON",
"authorized_official_first_name": "PAMELA",
"authorized_official_middle_name": "JOAN",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "509-961-3849"
},
"taxonomies": [
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1467725226",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA",
"identifier": "DT1624",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.