NPIMap

Organization Active NPI

Lewis County Pediatrics and Family Medicine

  • Primary Care Clinic/Center
  • Napavine, WA
National Provider Identifier
1366247710
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
LEWIS COUNTY PEDIATRICS AND FAMILY MEDICINE
Practice address
375 A Linhart Ave NE
Napavine, WA 98565-9856
Phone
(360) 880-4955
NPI assigned
Feb 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Authorized official

Name
Chanel Marie Tangen Patana, PNPNPI 1497317929
Title
Owner
Phone
(360) 880-4955

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

375 A Linhart Ave NE
Napavine, WA 98565-9856

Mailing address

PO Box 708
Napavine, WA 98565-0708

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1739836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1366247710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 708",
            "city": "NAPAVINE",
            "state": "WA",
            "postal_code": "985650708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 A LINHART AVE NE",
            "city": "NAPAVINE",
            "state": "WA",
            "postal_code": "985659856",
            "telephone_number": "360-880-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS COUNTY PEDIATRICS AND FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "PATANA",
        "authorized_official_first_name": "CHANEL",
        "authorized_official_middle_name": "MARIE TANGEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-880-4955",
        "authorized_official_credential": "PNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napavine, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.