Spokane Pediatrics PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

SPOKANE PEDIATRICS PLLC

Practice address

315 W 9TH Ave Ste 200
Spokane, WA 99204

Phone

(509) 990-6249

NPI assigned

Aug 27, 2018

Last updated

Aug 27, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Annette J Seay

Title

Office Manager

Phone

(509) 990-6249

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly Ann Grandinetti, MD

  • Pediatrics Physician
  • Spokane, WA
  • NPI 1801888524
  NPD (past)

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535328000000",
    "number": "1932680949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W 9TH AVE STE 200",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W 9TH AVE STE 200",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99204",
            "telephone_number": "509-990-6249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOKANE PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A",
        "authorized_official_last_name": "SEAY",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-990-6249"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spokane Operations LLC (Avamere at South Hill)
• Spokane Optical Company LLC
• Spokane Optical Company LLC
• Spokane Orthopedics PLLC
• Spokane Outpatient Anesthesia PLLC
• Spokane Physician Services, a Professional LLC
• Spokane Plastic Surgeons PS (Spokane Plastic Surgeons Surgicenter)
• Spokane Psychiatric Clinic PS
• Spokane Psychiatry and Psychology, P.S.
• Spokane Psychology and Neuropsychology, PS

• Pediatrics Physician in Spokane, WA
• Providers in Spokane, WA by specialty
• Pediatrics Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.