SOUTH SOUND PEDIATRICS PLLC
NPI 1073684692
Pediatrics in Olympia, WA

Active since November 13, 2006
3516 12TH AVE NE, OLYMPIA, WA 98506(360) 456-1600(360) 456-6504 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About South Sound Pediatrics Pllc NPPES

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

SOUTH SOUND PEDIATRICS PLLC (NPI 1073684692) is a healthcare organization registered as a pediatrics in Olympia, Washington and active in the NPI registry since November 2006. The organization lists Beth Harvey, Medical Director/partner, as its authorized official.

NPPES Registry Identity

NPI1073684692
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSOUTH SOUND PEDIATRICS PLLC
Location Address3516 12TH AVE NEOlympia, WA 98506-5218
Mailing Address3516 12th Ave NeOlympia, WA 98506-5218 · (360) 456-1600 · Fax (360) 456-6504
Fax(360) 456-6504
Organization SubpartNo
Authorized OfficialBeth HarveyMedical Director/partner · (360) 456-1600
Enumeration DateNovember 13, 2006
Last NPPES UpdateAugust 5, 20252 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
NPI 1073684692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
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.
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X
3516 12TH AVE NE, Olympia, WA 98506

Other Identifiers 2

Medicaid1029486WA
Medicaid7036924WA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 13

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

Nurse Practitioner (Pediatrics)
3516 12TH AVE NE
OLYMPIA, WA 98506
Pediatrics
3516 12TH AVE NE
OLYMPIA, WA 98506
Pediatrics
3516 12TH AVE NE
OLYMPIA, WA 98506
Pediatrics
3516 12TH AVE NE
OLYMPIA, WA 98506
Nurse Practitioner (Family)
3516 12TH AVE NE
OLYMPIA, WA 98506
Pediatrics
3516 12TH AVE NE
OLYMPIA, WA 98506
Pediatrics
3516 12TH AVE NE
OLYMPIA, WA 98506
Pediatrics
3516 12TH AVE NE
OLYMPIA, WA 98506

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 South Sound Pediatrics PLLC's NPI number?

The NPI number for South Sound Pediatrics PLLC is 1073684692. It was assigned to this organization in the NPPES registry on November 13, 2006.

Where is South Sound Pediatrics PLLC located?

South Sound Pediatrics PLLC is located at 3516 12th Ave NE, Olympia, WA 98506. The listed phone number is (360) 456-1600.

What is South Sound Pediatrics PLLC's specialty?

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

What insurance does South Sound Pediatrics PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list South Sound Pediatrics PLLC 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 South Sound Pediatrics PLLC was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.