Individual provider Active NPI

Eric M Flake, MD

  • Developmental - Behavioral Pediatrics Physician
  • Tacoma, WA
National Provider Identifier
1477521318
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
License
60567453 Issued in WA
Practice address
9040 Jackson Ave
Tacoma, WA 98431-6340
Phone
(253) 968-2252
Fax
(253) 968-3219
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics Physician 2080P0006X 60567453 WA Primary
Pediatrics Physician 208000000X MD60567453 WA

Addresses

Primary practice location

9040 Jackson Ave
Tacoma, WA 98431-6340

Mailing address

3801 Kern Way
Yakima, WA 98902-6340
Phone (509) 574-3220

Other practice location 1

3434 12th Ave NE
Olympia, WA 98506-5175
Phone (360) 413-8740

Other practice location 2

101 W 8th Ave Ste 4200
Spokane, WA 99204-2307
Phone (509) 474-2730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150731014602 WA Practitioner - Pediatric MedicinePractitioner - Other (Physician) 0749594091 Reassigns benefits to 1 organization
I20250306001444 OH Practitioner - Pediatric Medicine 0749594091 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD60567453WAMDPediatrics Physician
60567453WAMDDevelopmental - Behavioral Pediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Washington CurrentSince Dec 1, 2025 Accepting new patients
Providence Health & Services Washington CurrentSince Dec 1, 2025 Accepting new patients
University Hospitals Medical Group Inc Pediatrics CurrentSince Feb 24, 2025 Accepting new patients
Multicare Health System Past Accepting new patients
Multicare Health System Past Accepting new patients
Providence Health & Services - Washington Past Accepting new patients

Locations

8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024

11100 Euclid Ave
Cleveland Heights, OH 44106

1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701

101 W 8th Ave
Ste 4200E
Spokane, WA 99204
Phone (509) 474-5440

101 W 8th Ave
Ste 4200
Spokane, WA 99204
Phone (509) 474-2730

Interoperability endpoints

  • Direct secure messaging: eflake40901@yvfwc.direct-ci.com
  • Direct secure messaging: eflake647676@ehrdirect.uhhospitals.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1477521318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 KERN WAY",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989026340",
            "telephone_number": "509-574-3220",
            "fax_number": "509-574-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 JACKSON AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984316340",
            "telephone_number": "253-968-2252",
            "fax_number": "253-968-3219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3434 12th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985065175",
            "country_code": "US",
            "telephone_number": "360-413-8740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 W 8th Ave Ste 4200",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992042307",
            "country_code": "US",
            "telephone_number": "509-474-2730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLAKE",
        "first_name": "ERIC",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "WA",
            "license": "60567453",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD60567453",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.