Callie Anne Byrd, MD
Individual provider Active NPI Pediatrics Physician · Covington, WA
NPI 1376787481 · NPPES record last updated Aug 17, 2021
Key facts
- NPI
- 1376787481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- MD60278120 (WA)
- Practice address
- 27500 168TH PL SE
Covington, WA 98042-5563 - Phone
- (425) 690-3430
- Fax
- (425) 690-9430
- NPI assigned
- Apr 21, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180529001220 | WA | Practitioner - Pediatric Medicine | 5092070805 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Medical Group-Renton | Pediatrics | Current |
Accepting new patients |
| Public Hospital District #1 of King County | Past | Accepting new patients |
Locations
16850 SE 272nd St
Covington, WA 98042
Phone (253) 395-1960
27500 168th Pl SE
Covington, WA 98042
Phone (425) 690-3430
16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971
3600 Lind Ave SW
Ste 100
Renton, WA 98057
Interoperability endpoints
- cbyrd28489@direct.valleymed.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD60278120 | WA | Yes |
Addresses
Primary practice location
27500 168TH PL SE
Covington, WA 98042-5563
Mailing address
3600 Lind Ave SW
Suite 100 Attn Credentialing
Renton, WA 98057-4970
Phone (425) 690-2715
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2022285 | Medicaid | WA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://FHIR.valleymed.org/FHIR-PRD/api/FHIR/DSTU2/ | Other | |
| Direct Messaging Address | cbyrd28489@direct.valleymed.org | Direct |
Other providers in Covington, WA
- Ashley Marie Bullers
- Laura Burgett
- Steven Kendall Burkhead
- Melanie Burnam
- Jullian R. Burton
- Maria Belen Calkins
- Susana Caro
- Jodi Janette Casad
- Cascade Surgery Associates
- Clifton Cassidy II
All providers in Covington, WA · Pediatrics Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.