Wallingford Pediatrics PLLC

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

MD00012418 Issued in WA

Legal business name

WALLINGFORD PEDIATRICS PLLC

Practice address

4005 Wallingford Ave N
Seattle, WA 98103-8218

Phone

(206) 632-0542

NPI assigned

May 8, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Deborah C Niebla

Title

Office Manager

Phone

(206) 632-0542

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amye M Hadley, ND, ARNP

  • Family Nurse Practitioner
  • Silverdale, WA
  • NPI 1063657443
  NPD (past)
• David Alan Springer, MD

  • Pediatric Adolescent Medicine Physician
  • Seattle, WA
  • NPI 1508927062
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1023284122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31509",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98103",
            "telephone_number": "206-632-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 WALLINGFORD AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038218",
            "telephone_number": "206-632-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLINGFORD PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "NIEBLA",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "206-632-0542"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "WA",
            "license": "MD00012418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "0057688",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSHS",
            "identifier": "1097559",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher John Wallick, PHARMD
• Ulrik Georg Wallin, MD
• Ara D Walline, N.D.
• Stephen Wallinger, M.ED., LMHCA
• Wallingford Family Chiropractic PLLC
• Allison Noelle Wallingford, MD
• Kiana Jane Wallis, RBT
• Spencer Wallis, LMFT
• Wayne J Wallis, MD
• Kent Emerson Wallner, M.D.

• Legal Medicine in Seattle, WA
• Providers in Seattle, WA by specialty
• Legal Medicine in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.