Active NPI
Allenmore Children & Young Adult Clinic
- Pediatrics Physician
- Tacoma, WA
National Provider Identifier
1245398858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- ALLENMORE CHILDREN & YOUNG ADULT CLINIC
- Practice address
- 1924 S Cedar St
A
Tacoma, WA 98405 - Phone
- (253) 627-9145
- Fax
- (253) 383-1556
- NPI assigned
- Dec 5, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James L Schneller, MD
- Title
- Physician Owner
- Phone
- (253) 627-9145
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | NU | Primary |
Addresses
Primary practice location
1924 S Cedar St
A
Tacoma, WA 98405
Mailing address
1924 S Cedar St
A
Tacoma, WA 98405
Phone (253) 627-9145
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7041478 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
1924 S Cedar St
Ste A
Tacoma, WA 98405
Phone (206) 627-9145
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pediatrics Physician
- Tacoma, WA
- NPI 1235114992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1245398858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1924 S CEDAR ST",
"address_2": "A",
"city": "TACOMA",
"state": "WA",
"postal_code": "98405",
"telephone_number": "253-627-9145",
"fax_number": "253-383-1556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1924 S CEDAR ST",
"address_2": "A",
"city": "TACOMA",
"state": "WA",
"postal_code": "98405",
"telephone_number": "253-627-9145",
"fax_number": "253-383-1556"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLENMORE CHILDREN & YOUNG ADULT CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SCHNELLER",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PHYSICIAN OWNER",
"authorized_official_telephone_number": "253-627-9145",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7041478",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
- Susan M Allen, LSWAIC
- Tristen Boyd Allen
- Yolande N Allen, LCSW-C
- Barbara L Allendoerfer, MSW
- Allenmore Anesthesia Associates PLLC
- Allenmore Psychological Associates
- Alliance for South Sound Health (Wellfound Behavioral Health Hospital)
- Alliance West Insurance, Inc.
- Amanda Lyn Allie, LMHC
- Kecia Allie
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.