NPIMap

Organization Active NPI

Woodinville Pediatrics PLLC

  • Pediatrics Physician
  • Woodinville, WA
National Provider Identifier
1801971254
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
6017594067 Issued in WA
Legal business name
WOODINVILLE PEDIATRICS PLLC
Practice address
17000 140 Ave NE
#102
Woodinville, WA 98072
Phone
(425) 483-5437
Fax
(425) 488-4919
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Linda J Beier, BUSINESS MANAGER
Title
Business Manager
Phone
(425) 483-5437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 6017594067 WA Primary

Addresses

Primary practice location

17000 140 Ave NE
#102
Woodinville, WA 98072

Mailing address

17000 140 Ave NE
#102
Woodinville, WA 98072
Phone (425) 483-5437

Other identifiers 1

IdentifierTypeStateIssuer
7160179MedicaidWA

National Provider Directory

National Provider Directory
Tax ID family
Woodinville Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4220 132nd St SE
Ste 102
Mill Creek, WA 98012

17000 140th Ave NE
Unit 102
Woodinville, WA 98072
Phone (425) 483-5437

Practitioners & affiliated clinicians

Practitioners 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801971254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 140 AVE NE",
            "address_2": "#102",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "98072",
            "telephone_number": "425-483-5437",
            "fax_number": "425-488-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 140 AVE NE",
            "address_2": "#102",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "98072",
            "telephone_number": "425-483-5437",
            "fax_number": "425-488-4919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODINVILLE PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEIER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "425-483-5437",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BUSINESS MANAGER"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "6017594067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7160179",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodinville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.