Active NPI
Pediatrics for You, PLLC
- Pediatrics Physician
- Kennewick, WA
National Provider Identifier
1427240449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 602709835
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D1070720 | Pediatrics for You, PLLC | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physician Assistant
- Kennewick, WA
- NPI 1114765146
-
- Family Nurse Practitioner
- Richland, WA
- NPI 1457032450
-
- Medical Physician Assistant
- Mount Vernon, WA
- NPI 1356968390
-
- Medical Physician Assistant
- Kennewick, WA
- NPI 1396177119
-
- Pediatrics Physician
- Kennewick, WA
- NPI 1679652135
-
- Medical Physician Assistant
- Kennewick, WA
- NPI 1316174063
-
- Medical Physician Assistant
- Leawood, KS
- NPI 1841735388
-
- Medical Physician Assistant
- Medford, OR
- NPI 1942645494
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.