Organization Active NPI

Northwest Health Summit, PS

  • Gynecology Physician
  • Spokane Valley, WA
National Provider Identifier
1043410194
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
NORTHWEST HEALTH SUMMIT, PS
Practice address
16201 E Indiana Ave
Suite 5300
Spokane Valley, WA 99216-2830
Phone
(509) 465-8885
Fax
(509) 789-9013
NPI assigned
Jul 18, 2007
Organization subpart
Yes
Parent organization
NORTHWEST HEALTH SUMMIT, PSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Authorized official

Name
Cindy S Riendeau
Title
Manager
Phone
(509) 465-8885

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X WA
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X WA
Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VG0400X WA Primary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X WA
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X WA
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X WA
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X WA

Addresses

Primary practice location

16201 E Indiana Ave
Suite 5300
Spokane Valley, WA 99216-2830

Mailing address

16201 E Indiana Ave
Suite 5300
Spokane Valley, WA 99216-2830
Phone (509) 465-8885

Other identifiers 1

IdentifierTypeStateIssuer
MTSW.FS.60547341OtherWAWA DEPARTMENT OF HEALTH FACILITY IDENTIFICATION NUMBER

Other names 1

  • Woman's Health Connection, PS Doing business as

National Provider Directory

National Provider Directory
Part of
Women'S Health Connection Ambulatory Surgery Center

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469664000000",
    "number": "1043410194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16201 E INDIANA AVE",
            "address_2": "SUITE 5300",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992162830",
            "telephone_number": "509-465-8885",
            "fax_number": "509-789-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16201 E INDIANA AVE",
            "address_2": "SUITE 5300",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992162830",
            "telephone_number": "509-465-8885",
            "fax_number": "509-789-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST HEALTH SUMMIT, PS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWEST HEALTH SUMMIT, PS",
        "enumeration_date": "2007-07-18",
        "last_updated": "2016-07-28",
        "status": "A",
        "authorized_official_last_name": "RIENDEAU",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "509-465-8885"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "WA",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA DEPARTMENT OF HEALTH FACILITY IDENTIFICATION NUMBER",
            "identifier": "MTSW.FS.60547341",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woman's Health Connection, PS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.