NPIMap

Organization Active NPI

Healthy Future Pediatrics

  • Pediatrics Physician
  • Olympia, WA
National Provider Identifier
1356514665
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD00027556 Issued in WA
Legal business name
HEALTHY FUTURE PEDIATRICS
Practice address
300 Lilly Rd NE
Suite a
Olympia, WA 98506-5428
Phone
(360) 528-4220
Fax
(360) 528-4226
NPI assigned
Apr 8, 2008
Reactivated
Jun 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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

Authorized official

Name
Linda V Buffington
Title
Office Manager
Phone
(360) 528-4220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X MD00027556 WA Primary

Addresses

Primary practice location

300 Lilly Rd NE
Suite a
Olympia, WA 98506-5428

Mailing address

300 Lilly Rd NE
Suite a
Olympia, WA 98506-5428
Phone (360) 528-4220

Other identifiers 4

IdentifierTypeStateIssuer
7128853MedicaidWA
8119364MedicaidWA
9646134MedicaidWA
9649971MedicaidWA

National Provider Directory

National Provider Directory

Locations

3023 Pacific Ave SE
Olympia, WA 98501
Phone (360) 528-4220

Practitioners & affiliated clinicians

Practitioners 9

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": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277164800000",
    "number": "1356514665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LILLY RD NE",
            "address_2": "SUITE A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065428",
            "telephone_number": "360-528-4220",
            "fax_number": "360-528-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LILLY RD NE",
            "address_2": "SUITE A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065428",
            "telephone_number": "360-528-4220",
            "fax_number": "360-528-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY FUTURE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2010-06-22",
        "deactivation_date": "2008-06-30",
        "reactivation_date": "2010-06-22",
        "status": "A",
        "authorized_official_last_name": "BUFFINGTON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-528-4220"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD00027556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7128853",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8119364",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9646134",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9649971",
            "state": "WA"
        }
    ],
    "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 Jun 22, 2010; 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.