Organization Active NPI

RFMP PLLC

  • Family Medicine Physician
  • Enumclaw, WA
National Provider Identifier
1720575400
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
PA60115653 Issued in WA
Legal business name
RFMP PLLC
Practice address
853 Watson St N Ste 201
Enumclaw, WA 98022
Phone
(360) 768-4045
Fax
(360) 226-3942
NPI assigned
Apr 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

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

Authorized official

Name
Mr. Brian J HillerNPI 1386978104
Title
PA-C, Ceo
Phone
(360) 768-4045

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X PA60115653 WA Primary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X PA60115653 WA
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X PA60115653 WA

Addresses

Primary practice location

853 Watson St N Ste 201
Enumclaw, WA 98022

Mailing address

853 Watson St N Ste 201
Enumclaw, WA 98022-9348
Phone (360) 768-4045

Other names 1

  • Rainier Family Medicine & Pediatrics PLLC Doing business as

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
50D2151852Rainier Family Medicine and Pediatrics PLLC853 Watson St N Ste 201, Enumclaw, WA 98022Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

853 Watson St N
Ste 201
Enumclaw, WA 98022
Phone (360) 625-6080

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17803/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531785600000",
    "number": "1720575400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 WATSON ST N STE 201",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980229348",
            "telephone_number": "360-768-4045",
            "fax_number": "360-226-3942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 WATSON ST N STE 201",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "98022",
            "telephone_number": "360-768-4045",
            "fax_number": "360-226-3942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RFMP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-18",
        "last_updated": "2018-07-17",
        "status": "A",
        "authorized_official_last_name": "HILLER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PA-C, CEO",
        "authorized_official_telephone_number": "360-768-4045",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "PA60115653",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "PA60115653",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "PA60115653",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rainier Family Medicine & Pediatrics PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Enumclaw, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; 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.