Active NPI
Capital Pediatrics, PLLC
- Pediatrics Physician
- Olympia, WA
National Provider Identifier
1619137635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- CAPITAL PEDIATRICS, PLLC
- Practice address
- 2112 Caton Way SW
Olympia, WA 98502-1105 - Phone
- (360) 754-1629
- Fax
- (360) 754-1964
- NPI assigned
- Jun 12, 2008
- 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
- Janet Ness
- Title
- Office Manager
- Phone
- (360) 754-1629
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
2112 Caton Way SW
Olympia, WA 98502-1105
Mailing address
2112 Caton Way SW
Olympia, WA 98502-1105
Phone (360) 754-1629
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1120641 | Medicaid | WA |
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 |
|---|---|---|---|
| 50D2276186 | Capital Pediatrics PLLC | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
509 Missouri Blvd
Jefferson City, MO 65101
1616 Southridge Dr
Jefferson Cty, MO 65109
Phone (573) 635-2800
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Olympia, WA
- NPI 1104994722
-
- Pediatrics Physician
- Olympia, WA
- NPI 1265509608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1365638400000",
"number": "1619137635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2112 CATON WAY SW",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985021105",
"telephone_number": "360-754-1629",
"fax_number": "360-754-1964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2112 CATON WAY SW",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985021105",
"telephone_number": "360-754-1629",
"fax_number": "360-754-1964"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAPITAL PEDIATRICS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-12",
"last_updated": "2013-04-11",
"status": "A",
"authorized_official_last_name": "NESS",
"authorized_official_first_name": "JANET",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "360-754-1629"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1120641",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; 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.