NPIMap

Organization Active NPI

Fir Creek Pediatrics

  • Primary Care Clinic/Center
  • Lakewood, WA
National Provider Identifier
1851532659
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
AP30003701 Issued in WA
Legal business name
FIR CREEK PEDIATRICS
Practice address
9101 Bridgeport Way SW
BLD a
Lakewood, WA 98499-2419
Phone
(253) 565-7686
Fax
(253) 566-0210
NPI assigned
Mar 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2009

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

Authorized official

Name
Mrs. Michelle M Hayes, MN, ARNPNPI 1275520405
Title
Pediatric Nurse Practitioner
Phone
(253) 565-7686

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X AP30003701 WA Primary
Primary Care Clinic/Center 261QP2300X RN00093723 WA

Addresses

Primary practice location

9101 Bridgeport Way SW
BLD a
Lakewood, WA 98499-2419

Mailing address

9101 Bridgeport Way SW
BLD a
Lakewood, WA 98499-2419
Phone (253) 565-7686

National Provider Directory

National Provider Directory

Locations

9101 Bridgeport Way SW
Ste A
Lakewood, WA 98499
Phone (253) 565-7686

Practitioners & affiliated clinicians

Practitioners 1

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": "1236556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1851532659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 BRIDGEPORT WAY SW",
            "address_2": "BLD A",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992419",
            "telephone_number": "253-565-7686",
            "fax_number": "253-566-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 BRIDGEPORT WAY SW",
            "address_2": "BLD A",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992419",
            "telephone_number": "253-565-7686",
            "fax_number": "253-566-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIR CREEK PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-09",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PEDIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "253-565-7686",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MN, ARNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "AP30003701",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "RN00093723",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.