Active NPI
Ciera Anne Todd, DO
- Family Medicine Physician
- Kennewick, WA
National Provider Identifier
1093527004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OL61680075
- Practice address
- 7201 W Grandridge Blvd
Kennewick, WA 99336-6709 - Phone
- (509) 221-5520
- Fax
- (509) 221-5521
- NPI assigned
- Jan 25, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OL61680075 | WA | Primary |
Addresses
Primary practice location
7201 W Grandridge Blvd
Kennewick, WA 99336-6709
Mailing address
11400 Olympus Way Apt H204
Gig Harbor, WA 98332-8779
Phone (434) 338-9417
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250724003697 | WA | Order and Referring Only - Family Practice | 7113434283 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OL61680075 | WA | MD | Family Medicine Physician |
Interoperability endpoints
- ciera.todd.1@18485.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744070400000",
"number": "1093527004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11400 OLYMPUS WAY APT H204",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983328779",
"telephone_number": "434-338-9417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7201 W GRANDRIDGE BLVD",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993366709",
"telephone_number": "509-221-5520",
"fax_number": "509-221-5521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TODD",
"first_name": "CIERA",
"middle_name": "ANNE",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-25",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "OL61680075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kennewick, WA
- Tin Duc Nguyen DMD and Lan Thi Ngoc Nguyen DMD, PLLC (Forever Smiles Family Dental)
- Angelia Christine Tinnin
- Lynn Marie Tisdale
- Todd Cooper, DDS, Tyson Teeples, DMD, MD, Ryan Toponce, DMD, PS.
- Candice Todd
- Kevin Todd, LMHC
- Jessica Michelle Togiai
- Martha Evangelina Toledo
- Kalie Anne Tong-Lehrman
- Ryan Matthew Toponce
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.