NPIMap

Organization Active NPI

Olympia Pediatrics, PLLC

  • Specialist
  • Olympia, WA
National Provider Identifier
1306012083
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
OLYMPIA PEDIATRICS, PLLC
Practice address
3434 12TH Ave NE
Olympia, WA 98506-5175
Phone
(360) 413-8470
Fax
(360) 413-8819
NPI assigned
May 2, 2008
Last updated
Sep 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Authorized official

Name
Janelle Tiegs
Title
Clinic Administrator
Phone
(360) 413-8364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

3434 12TH Ave NE
Olympia, WA 98506-5175

Mailing address

3434 12TH Ave NE
Olympia, WA 98506-5175
Phone (360) 413-8470

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
50D0987478Olympia Pediatrics PLLC3434 12TH Ave NE, Olympia, WA 98506Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

3434 12th Ave NE
Olympia, WA 98506
Phone (360) 413-8470

525 Lilly Rd NE
#250
Olympia, WA 98506
Phone (360) 413-8470

525 Lilly Rd NE
Ste 250
Olympia, WA 98506
Phone (360) 413-8470

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1306012083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 12TH AVE NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065175",
            "telephone_number": "360-413-8470",
            "fax_number": "360-413-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 12TH AVE NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065175",
            "telephone_number": "360-413-8470",
            "fax_number": "360-413-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIA PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-02",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "TIEGS",
        "authorized_official_first_name": "JANELLE",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "360-413-8364"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.