Individual provider Active NPI

Shira Einstein, MD

  • Pediatrics Physician
  • Vancouver, WA
National Provider Identifier
1295232312
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD61146030 Issued in WA
Practice address
14508 NE 20TH Ave
Vancouver, WA 98686-6424
Phone
(360) 852-9080
NPI assigned
Apr 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD61146030 WA Primary

Addresses

Primary practice location

14508 NE 20TH Ave
Vancouver, WA 98686-6424

Mailing address

14508 NE 20TH Ave
Vancouver, WA 98686-6424
Phone (360) 852-9080

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211103001099 WA Practitioner - Pediatric Medicine 3476804857 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD61146030WAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Mar Community Health Centers CurrentSince Oct 27, 2021 Accepting new patients
Sea Mar Community Health Centers Current Accepting new patients
Sea Mar Community Health Centers CurrentSince Oct 27, 2021 Accepting new patients

Locations

1400 N Laventure Rd
Mount Vernon, WA 98273
Phone (360) 428-4075

14508 NE 20th Ave
Ste 102
Vancouver, WA 98686
Phone (360) 574-9730

Interoperability endpoints

  • Direct secure messaging: seinstein589803@direct.multicare.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1295232312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14508 NE 20TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986866424",
            "telephone_number": "360-852-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14508 NE 20TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986866424",
            "telephone_number": "360-852-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EINSTEIN",
        "first_name": "SHIRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-06",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD61146030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.