Organization Active NPI

Sound Pediatrics, PLLC

  • Pediatrics Physician
  • Poulsbo, WA
National Provider Identifier
1306133533
Registry record updated Jul 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD0033619 Issued in WA
Legal business name
SOUND PEDIATRICS, PLLC
Practice address
22180 Olympic College Way
Suite 203
Poulsbo, WA 98370-6664
Phone
(360) 626-4031
Fax
(360) 626-4037
NPI assigned
Jul 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2011

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

Authorized official

Name
Dr. Wendy Zeeben Hawley, MDNPI 1649342692
Title
Manager
Phone
(360) 626-4031

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X MD0033619 WA Primary

Addresses

Primary practice location

22180 Olympic College Way
Suite 203
Poulsbo, WA 98370-6664

Mailing address

22180 Olympic College Way
Suite 203
Poulsbo, WA 98370-6664
Phone (360) 626-4031

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
50D2068748Sound Pediatrics22180 Olympic College Way NW Ste 203, Poulsbo, WA 98370Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

22180 Olympic College Way NW
Ste 203
Poulsbo, WA 98370
Phone (360) 626-4031

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310083200000",
    "number": "1306133533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22180 OLYMPIC COLLEGE WAY",
            "address_2": "SUITE 203",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983706664",
            "telephone_number": "360-626-4031",
            "fax_number": "360-626-4037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22180 OLYMPIC COLLEGE WAY",
            "address_2": "SUITE 203",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983706664",
            "telephone_number": "360-626-4031",
            "fax_number": "360-626-4037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUND PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-08",
        "last_updated": "2011-07-08",
        "status": "A",
        "authorized_official_last_name": "HAWLEY",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "ZEEBEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "360-626-4031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD0033619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poulsbo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2011; 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.