Pediatric Interim Care Center, the Newborn Nursery

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

License

601250502 Issued in WA

Legal business name

PEDIATRIC INTERIM CARE CENTER, THE NEWBORN NURSERY

Practice address

328 4TH Avenue South
Kent, WA 98032

Phone

(253) 852-5253

Fax

(253) 852-5728

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Barbara Drennen

Title

Executive Director

Phone

(253) 852-5253

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1639296197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 4TH AVENUE SOUTH",
            "city": "KENT",
            "state": "WA",
            "postal_code": "98032",
            "telephone_number": "253-852-5253",
            "fax_number": "253-852-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 4TH AVENUE SOUTH",
            "city": "KENT",
            "state": "WA",
            "postal_code": "98032",
            "telephone_number": "253-852-5253",
            "fax_number": "253-852-5728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC INTERIM CARE CENTER, THE NEWBORN NURSERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "DRENNEN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "253-852-5253",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "WA",
            "license": "601250502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7042823",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miriam J Peace, PT
• Michelle S. Peadon, M.A.
• Peak Psychiatry and Wellness PLLC
• Donald L Pearson
• Carey Rebecca Pease
• Peer Kent
• Douglas Harold Peffer, DC
• Adriana Maria Pelayo, CMI
• Jayne Pelger, MS LMHC CDP
• Nikole A Penman, LMHC

• Pediatric Skilled Nursing Facility in Kent, WA
• Providers in Kent, WA by specialty
• Pediatric Skilled Nursing Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.