Individual provider Active NPI

Ronda Westcott, M.D.

  • Pediatrics Physician
  • Coeur D Alene, ID
National Provider Identifier
1730188210
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
M8495 Issued in ID
Practice address
980 W Ironwood Dr
Ste 302
Coeur D Alene, ID 83814-2604
Phone
(208) 292-5437
Fax
(208) 292-5441
NPI assigned
Jul 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X M8495 ID Primary

Addresses

Primary practice location

980 W Ironwood Dr
Ste 302
Coeur D Alene, ID 83814-2604

Mailing address

980 W Ironwood Dr
Ste 302
Coeur D Alene, ID 83814-2604
Phone (208) 292-5437

Other identifiers 1

IdentifierTypeStateIssuer
806329600MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M8495IDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Pediatric & Adolescent Medicine, PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rwestcott627520@direct.multicare.org

Organizations & group practices 1

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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344470400000",
    "number": "1730188210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 W IRONWOOD DR",
            "address_2": "STE 302",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142604",
            "telephone_number": "208-292-5437",
            "fax_number": "208-292-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 W IRONWOOD DR",
            "address_2": "STE 302",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142604",
            "telephone_number": "208-292-5437",
            "fax_number": "208-292-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTCOTT",
        "first_name": "RONDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-18",
        "last_updated": "2012-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ID",
            "license": "M8495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806329600",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur D Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; 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.