NPIMap

Organization Active NPI

Pines Family Medicine Inc

  • Nurse Practitioner
  • Spokane Valley, WA
National Provider Identifier
1578715298
Registry record updated Oct 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0159349 Issued in WA
Legal business name
PINES FAMILY MEDICINE INC
Practice address
1005 N Pines Rd Ste 230
Spokane Valley, WA 99206-4958
Phone
(509) 926-1531
NPI assigned
Oct 13, 2008
Last updated
Oct 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2008

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

Authorized official

Name
Julia J Koep, ARNPNPI 1871522037
Title
President
Phone
(509) 926-1531

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0159349 WA Primary

Addresses

Primary practice location

1005 N Pines Rd Ste 230
Spokane Valley, WA 99206-4958

Mailing address

1005 N Pines Rd Ste 230
Spokane Valley, WA 99206-4958
Phone (509) 926-1531

National Provider Directory

National Provider Directory

Locations

1005 N Pines Rd
Ste 230
Spokane Valley, WA 99206
Phone (509) 926-1531

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223856000000",
    "number": "1578715298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 N PINES RD STE 230",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064958",
            "telephone_number": "509-926-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 N PINES RD STE 230",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064958",
            "telephone_number": "509-926-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINES FAMILY MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-13",
        "last_updated": "2008-10-13",
        "status": "A",
        "authorized_official_last_name": "KOEP",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-926-1531",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "0159349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.