Active NPI
Bear Creek Pediatrics
- Pediatric Nurse Practitioner
- Spokane, WA
National Provider Identifier
1518470137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- AP30007917
- Legal business name
- BEAR CREEK PEDIATRICS
- Practice address
- 105 W 8TH Ave Ste 7035
Spokane, WA 99204-2313 - Phone
- (509) 838-1188
- NPI assigned
- Nov 6, 2017
- Last updated
- Nov 6, 2017
- 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
- Karen McMahan
- Title
- Office MGR
- Phone
- (509) 838-1188
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | AP30007917 | WA | Primary |
Addresses
Primary practice location
105 W 8TH Ave Ste 7035
Spokane, WA 99204-2313
Mailing address
105 W 8TH Ave Ste 7035
Spokane, WA 99204-2313
Phone (509) 838-1188
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2026240 | Medicaid | WA | |
| 1048446 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
105 W 8th Ave
Ste 7035
Spokane, WA 99204
Phone (509) 458-5889
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatric Clinical Nurse Specialist
- Spokane Valley, WA
- NPI 1255520987
-
- Family Nurse Practitioner
- Spokane, WA
- NPI 1356817407
-
- Nurse Practitioner
- Spokane Valley, WA
- NPI 1699319483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1509926400000",
"number": "1518470137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 W 8TH AVE STE 7035",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042313",
"telephone_number": "509-838-1188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 W 8TH AVE STE 7035",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042313",
"telephone_number": "509-838-1188"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEAR CREEK PEDIATRICS",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-06",
"last_updated": "2017-11-06",
"status": "A",
"authorized_official_last_name": "MCMAHAN",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "OFFICE MGR",
"authorized_official_telephone_number": "509-838-1188"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "WA",
"license": "AP30007917",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2026240",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1048446",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.