Organization Active NPI

Pinnacle Sleep and Wake Disorders Center,PLLC

  • Durable Medical Equipment & Medical Supplies
  • Richland, WA
National Provider Identifier
1013258979
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Aug 6, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1467725226MedicaidWA
DT1624OtherWAPALMETTO GBA

National Provider Directory

National Provider Directory
Tax ID family
Pinnacle Sleep Wake Disord3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.