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KHADIDJA LATISE HARRELL M.D.
NPI 1013174218
Pediatrics in Joint Base Lewis Mcchord, WA

Active since May 16, 2008PECOS Enrolled
690 BARNES BLVD, JOINT BASE LEWIS MCCHORD, WA 98438(253) 982-5688 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 2, 2026, Nov 18, 2019 (2 updates tracked since 2019).

About Khadidja Latise Harrell M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KHADIDJA LATISE HARRELL M.D. (NPI 1013174218) is an individual pediatrics provider in Joint Base Lewis Mcchord, Washington, licensed in Washington (60935910) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013174218
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKHADIDJA LATISE HARRELLCredential: M.D.
Location Address690 BARNES BLVDJoint Base Lewis Mcchord, WA 98438-1303
Mailing Address505 Broadway Unit 700Tacoma, WA 98402-3997 · (808) 745-7109
Phone(253) 982-5688
Sole ProprietorNo
Enumeration DateMay 16, 2008
Last NPPES UpdateFebruary 2, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2026
✔ NPI 1013174218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WA · 60935910
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
690 BARNES BLVD, Joint Base Lewis Mcchord, WA 98438
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Khadidja Latise Harrell M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98438 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GLORIA MARTA WORKMAN PHD
Psychologist
690 BARNES BLVD
JOINT BASE LEWIS MCCHORD, WA 98438
Pierce County (253) 982-3685
DR. SANDRA ANN KNUTSON O.D.
Optometrist
690 BARNES BLVD
MCCHORD AFB, WA 98438
Pierce County (253) 982-2032
TOM THOMAS RN
Registered Nurse
690 BARNES BLVD
JOINT BASE LEWIS MCCHORD, WA 98438
Pierce County (253) 982-5601
MRS. KATHLEEN GREENHALGH CNM
Nurse Practitioner (Women's Health)
690 BARNES BLVD
JOINT BASE LEWIS MCCHORD, WA 98438
Pierce County (253) 982-0276
ANDREA LYNN CHARLTON D.O.
Pediatrics (Developmental - Behavioral Pediatrics)
690 BARNES BLVD
JOINT BASE LEWIS MCCHORD, WA 98438
Pierce County (253) 968-5688
JAYCE MOODY
Dental Hygienist
690 BARNES BLVD
JOINT BASE LEWIS MCCHORD, WA 98438
Pierce County (253) 982-5505
SAM ZHAN DDS
Dentist
690 BARNES BLVD
JOINT BASE LEWIS MCCHORD, WA 98438
Pierce County (253) 982-5505
EVELYN YVONNE ANDERSON
Registered Nurse
690 BARNES BLVD
MCCHORD AFB, WA 98438
Pierce County (253) 982-3185

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Khadidja Harrell's NPI number?

The NPI number for Khadidja Harrell is 1013174218. It was assigned to this individual provider in the NPPES registry on May 16, 2008.

Where is Khadidja Harrell located?

Khadidja Harrell practices at 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438. The listed phone number is (253) 982-5688.

What is Khadidja Harrell's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Khadidja Harrell enrolled in Medicare?

Yes. Khadidja Harrell is registered in the Medicare PECOS enrollment system.

What insurance does Khadidja Harrell accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Khadidja Harrell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Khadidja Harrell was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.