NPIMap

Organization Active NPI

Pediatric Infusion Services LLC

  • Infusion Therapy Clinic/Center
  • Puyallup, WA
National Provider Identifier
1215528625
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
PEDIATRIC INFUSION SERVICES LLC
Practice address
1004 E Main Ste D
Puyallup, WA 98372-3199
Phone
(253) 202-3495
Fax
(253) 944-1320
NPI assigned
Jan 28, 2021
Last updated
Dec 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Authorized official

Name
Heidi D Elliott, RNNPI 1548845779
Title
Co-Owner
Phone
(253) 202-3495

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X NU Primary
Infusion Therapy Registered Nurse 163WI0500X NU
Pediatric Gastroenterology Physician 2080P0206X NU

Addresses

Primary practice location

1004 E Main Ste D
Puyallup, WA 98372-3199

Mailing address

1643 Browns Point Blvd
Tacoma, WA 98422-2308
Phone (253) 202-3495

Other practice location 1

5801 Soundview Dr
Gig Harbor, WA 98335-2095
Phone (253) 202-3495

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pediatricinfusions@outlook.com

National Provider Directory

National Provider Directory

Locations

1420 3rd St SE
Ste 106
Puyallup, WA 98372
Phone (253) 268-0720

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1215528625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1643 BROWNS POINT BLVD",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984222308",
            "telephone_number": "253-202-3495",
            "fax_number": "253-944-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 E MAIN STE D",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723199",
            "telephone_number": "253-202-3495",
            "fax_number": "253-944-1320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5801 Soundview Dr",
            "address_purpose": "LOCATION",
            "city": "Gig Harbor",
            "state": "WA",
            "postal_code": "983352095",
            "country_code": "US",
            "telephone_number": "253-202-3495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEDIATRIC INFUSION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-28",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "253-202-3495",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pediatricinfusions@outlook.com",
            "affiliation": "N",
            "endpointDescription": "Secure email address",
            "address_1": "1004 E Main Ste D",
            "city": "Puyallup",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983723199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.