Organization Active NPI

Pediatrics for You, PLLC

  • Pediatrics Physician
  • Kennewick, WA
National Provider Identifier
1427240449
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
602709835 Issued in WA
Legal business name
PEDIATRICS FOR YOU, PLLC
Practice address
6802 W Rio Grande Ave Ste 1
Kennewick, WA 99336-7684
Phone
(509) 572-2201
Fax
(509) 783-8844
NPI assigned
Aug 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Authorized official

Name
Shelley Matta
Title
Clinic Manager
Phone
(509) 572-2201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 602709835 WA Primary

Addresses

Primary practice location

6802 W Rio Grande Ave Ste 1
Kennewick, WA 99336-7684

Mailing address

6802 W Rio Grande Ave Ste 1
Kennewick, WA 99336-7684
Phone (509) 572-2201

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
50D1070720Pediatrics for You, PLLC6802 W Rio Grande Ave Ste 1, Kennewick, WA 99336Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

6802 W Rio Grande Ave
Ste 1
Kennewick, WA 99336
Phone (509) 572-2201

Practitioners & affiliated clinicians

Practitioners 8

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": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602720000000",
    "number": "1427240449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6802 W RIO GRANDE AVE STE 1",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367684",
            "telephone_number": "509-572-2201",
            "fax_number": "509-783-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6802 W RIO GRANDE AVE STE 1",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367684",
            "telephone_number": "509-572-2201",
            "fax_number": "509-783-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRICS FOR YOU, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A",
        "authorized_official_last_name": "MATTA",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "509-572-2201"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "602709835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.