NPIMap

Organization Active NPI

Betteridge & McNaughton PS Inc

  • Family Medicine Physician
  • Tacoma, WA
National Provider Identifier
1457552770
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28116 Issued in WA
Legal business name
BETTERIDGE & MCNAUGHTON PS INC
Practice address
3733 S Thompson Ave
Tacoma, WA 98418-5013
Phone
(253) 472-4473
Fax
(253) 474-3056
NPI assigned
May 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Authorized official

Name
Kelleigh Patron
Title
Manager
Phone
(253) 472-4473

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 28116 WA Primary
Sports Medicine (Family Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207QS0010X 28116 WA
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X 15856 WA

Addresses

Primary practice location

3733 S Thompson Ave
Tacoma, WA 98418-5013

Mailing address

3733 S Thompson Ave
Tacoma, WA 98418-5013
Phone (253) 472-4473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040309001473 WA Part B Supplier - Clinic/Group Practice 7719875814 Receives reassigned benefits from 4 practitioners
Practice locations: Tacoma, WA

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
50D0708386Betteridge & McNaughton, MDS, PS3733 S Thompson, Tacoma, WA 98418Provider-performed microscopyApr 4, 2028

National Provider Directory

National Provider Directory

Locations

3733 S Thompson Ave
Tacoma, WA 98418
Phone (206) 472-4473

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": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1457552770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3733 S THOMPSON AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984185013",
            "telephone_number": "253-472-4473",
            "fax_number": "253-474-3056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3733 S THOMPSON AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984185013",
            "telephone_number": "253-472-4473",
            "fax_number": "253-474-3056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETTERIDGE & MCNAUGHTON PS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "PATRON",
        "authorized_official_first_name": "KELLEIGH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "253-472-4473"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "28116",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "WA",
            "license": "28116",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "WA",
            "license": "15856",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.