Individual provider Active NPI

Gregory A Pritchard, PA-C

  • Physician Assistant
  • Spokane Valley, WA
National Provider Identifier
1700950425
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10003934 Issued in WA
Practice address
11917 E Broadway Ave Ste 102
Spokane Valley, WA 99206-6011
Phone
(509) 979-2164
Fax
(509) 979-2164
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10003934 WA Primary

Addresses

Primary practice location

11917 E Broadway Ave Ste 102
Spokane Valley, WA 99206-6011

Mailing address

11917 E Broadway Ave Ste 102
Spokane Valley, WA 99206-6011
Phone (095) 816-2037

Other identifiers 2

IdentifierTypeStateIssuer
8348617MedicaidWA
I35605MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100204000040 AZ Practitioner - Physician Assistant 3779672738

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4425AZMDGeneral Practice Dentistry
10003934WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
HRT Evergreen PC CurrentSince Apr 20, 2025 Accepting new patients
Total Orthopedics,LLC Past Accepting new patients
Ageless Women'S Health Az LLC Past Accepting new patients
Your Neighborhood Healthcare Center LLC Physician Assistant PastSince Nov 1, 2020 Accepting new patients
Equality Health at Home Inc Past Accepting new patients
Ucxtra Umbrella, LLC Past Accepting new patients

Locations

11917 E Broadway Ave
Ste 102
Spokane Valley, WA 99206
Phone (509) 979-2164

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1700950425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11917 E BROADWAY AVE STE 102",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066011",
            "telephone_number": "095-816-2037",
            "fax_number": "095-934-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11917 E BROADWAY AVE STE 102",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066011",
            "telephone_number": "509-979-2164",
            "fax_number": "509-979-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRITCHARD",
        "first_name": "GREGORY",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "10003934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8348617",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "I35605",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

Verify at the official NPI Registry.