Organization Active NPI

Airway Pediatrics, Professional Limited Liability Company

  • Pediatric Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1639864374
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
Legal business name
AIRWAY PEDIATRICS, PROFESSIONAL LIMITED LIABILITY COMPANY
Practice address
10408 W Sunset Hwy Ste 3
Spokane, WA 99224-6002
Phone
(702) 328-2477
NPI assigned
Apr 10, 2023
Last updated
Apr 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Authorized official

Name
Mrs. Heather Lebo
Title
Owner/Practice Manager
Phone
(702) 328-2477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0200X Primary

Addresses

Primary practice location

10408 W Sunset Hwy Ste 3
Spokane, WA 99224-6002

Mailing address

808 10TH St
Davenport, WA 99122-9434
Phone (702) 328-2477

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2286674Airway Pediatrics10408 W Sunset Hwy, Spokane, WA 99224Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

10408 W Sunset Hwy
Ste 3
Spokane, WA 99224
Phone (509) 418-2799

Practitioners & affiliated clinicians

Practitioners 2

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": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1639864374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 10TH ST",
            "city": "DAVENPORT",
            "state": "WA",
            "postal_code": "991229434",
            "telephone_number": "702-328-2477",
            "fax_number": "509-461-5287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10408 W SUNSET HWY STE 3",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992246002",
            "telephone_number": "702-328-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIRWAY PEDIATRICS, PROFESSIONAL LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-08",
        "status": "A",
        "authorized_official_last_name": "LEBO",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER/PRACTICE MANAGER",
        "authorized_official_telephone_number": "702-328-2477",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 10, 2023; 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.

Verify at the official NPI Registry.