Active NPI
Jaslyn Esther Erickson, MD
- Pediatrics Physician
- Walla Walla, WA
National Provider Identifier
1174273155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 61666802
- Practice address
- 55 W Tietan St BLDG a
Walla Walla, WA 99362-4445 - Phone
- (509) 525-3720
- NPI assigned
- Mar 24, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 61666802 | WA | Primary |
Addresses
Primary practice location
55 W Tietan St BLDG a
Walla Walla, WA 99362-4445
Mailing address
55 W Tietan St BLDG a
Walla Walla, WA 99362-4498
Phone (509) 525-3720
Other practice location 1
1 Baylor Plz # Bcm320
Houston, TX 77030-3411
Phone (832) 825-6497
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61666802 | WA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walla Walla Clinic, Inc. | Current | Accepting new patients | |
| Walla Walla Clinic, Inc. | Current | Accepting new patients | |
| Privia Medical Group Washington, PLLC | Current | Accepting new patients | |
| Providence Health & Services - Washington | Past | Accepting new patients | |
| Privia Medical Group Washington, PLLC | Past | Accepting new patients |
Locations
55 W Tietan St
Walla Walla, WA 99362
Phone (509) 525-3720
55 W Tietan St
Bldg A
Walla Walla, WA 99362
Phone (509) 525-3720
Interoperability endpoints
- https://api.platform.athenahealth.com/28594/brand/1/csg/1/fhir/r4
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Walla Walla, WA
- NPI 1780658419
-
- Ambulatory Surgical Clinic/Center
- Walla Walla, WA
- NPI 1760568273
-
- Clinic/Center
- Milton Freewater, OR
- NPI 1063521862
-
- Rural Health Clinic/Center
- Walla Walla, WA
- NPI 1346441979
-
- General Acute Care Hospital
- Walla Walla, WA
- NPI 1386895886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760918400000",
"number": "1174273155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 W TIETAN ST BLDG A",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993624498",
"telephone_number": "509-525-3720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 W TIETAN ST BLDG A",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993624445",
"telephone_number": "509-525-3720"
}
],
"practiceLocations": [
{
"address_1": "1 Baylor Plz # Bcm320",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770303411",
"country_code": "US",
"telephone_number": "832-825-6497",
"fax_number": "832-825-6497",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ERICKSON",
"first_name": "JASLYN",
"middle_name": "ESTHER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-24",
"last_updated": "2025-10-20",
"certification_date": "2025-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "61666802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walla Walla, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.