Organization Active NPI

Simplicity Direct Care, PLLC

  • Primary Care Clinic/Center
  • Spokane, WA
National Provider Identifier
1104529189
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SIMPLICITY DIRECT CARE, PLLC
Practice address
2020 E 29TH Ave Ste 110
Spokane, WA 99203-3951
Phone
(509) 779-8793
Fax
(509) 241-9385
NPI assigned
Mar 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Authorized official

Name
Dr. Paula Aileen Dygert, MDNPI 1609853993
Title
Owner
Phone
(509) 779-8793

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2020 E 29TH Ave Ste 110
Spokane, WA 99203-3951

Mailing address

3435 S London CT
Spokane, WA 99203-1655
Phone (607) 343-4675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230802003373 WA Part B Supplier - Clinic/Group Practice 2466813738 Receives reassigned benefits from 1 practitioner
Practice locations: Spokane, WA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2273982Simplicity Direct Care, PLLC2020 E 29TH Ave Ste 110, Spokane, WA 99203Provider-performed microscopyApr 4, 2028

National Provider Directory

National Provider Directory

Locations

2020 E 29th Ave
Ste 110
Spokane, WA 99203
Phone (509) 779-8793

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": "1679875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1104529189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 S LONDON CT",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992031655",
            "telephone_number": "607-343-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 E 29TH AVE STE 110",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992033951",
            "telephone_number": "509-779-8793",
            "fax_number": "509-241-9385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLICITY DIRECT CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "DYGERT",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "AILEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-779-8793",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.