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RICHMOND PEDIATRIC CLINIC INC. P.S.
NPI 1114962446
Pediatrics in Shoreline, WA

Active since June 19, 2006CLIA 50D0633458 · Waiver
357 NW RICHMOND BEACH RD, RICHMOND PEDIATRICS, SHORELINE, WA 98177(206) 546-2421(206) 542-9028 Get Directions Write a Review

NPPES record last updated: June 10, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Richmond Pediatric Clinic Inc. P.s. NPPES

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

RICHMOND PEDIATRIC CLINIC INC. P.S. (NPI 1114962446) is a healthcare organization registered as a pediatrics in Shoreline, Washington and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Jeffrey C Ernst, Secty/treas, as its authorized official.

NPPES Registry Identity

NPI1114962446
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameRICHMOND PEDIATRIC CLINIC INC. P.S.
Location Address357 NW RICHMOND BEACH RD, RICHMOND PEDIATRICSShoreline, WA 98177
Mailing Address357 Nw Richmond Beach Rd, Richmond PediatricsShoreline, WA 98177 · (206) 546-2421 · Fax (206) 542-9028
Phone(206) 546-2421
Fax(206) 542-9028
Organization SubpartNo
Authorized OfficialJeffrey C ErnstSecty/treas · (206) 546-2421
Enumeration DateJune 19, 2006
Last NPPES UpdateJune 10, 2015
✔ NPI 1114962446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WA · MD00038513
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.
357 NW RICHMOND BEACH RD, Shoreline, WA 98177
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Other Identifiers 4

Medicaid7039175WA
Medicaid8253270WA
Medicare PING8935065WA
Medicare UPINC69370WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Richmond Pediatric Clinic Inc. P.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Richmond Pediatric Clinic Inc. P.S., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Alexsandra Greer Phillips, MD
Pediatric Medicine
NPI 1508398827
357 NW RICHMOND BEACH RD
Shoreline, WA 98177
(206) 987-2525
✔ PECOSSame address
Jeffrey Ernst, MD
Pediatric Medicine
NPI 1790721736
23511 56TH AVE W STE 105
Mountlake Terrace, WA 98043
(206) 546-2421
✔ PECOS3.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D0633458

Richmond Pediatrics · Mountlake Terrace, WA
Active · expires Apr 4, 2028
CLIA Number50D0633458
Laboratory TypePhysician Office
Certificate Effective DateDecember 19, 2024
Certificate Expiration DateApril 4, 2028
Laboratory DirectorMelissa Walsh
Laboratory Phone(206) 546-2421
Laboratory LocationRichmond Pediatrics23511 56th Ave W Ste 105, Mountlake Terrace, WA 98043
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Richmond Pediatric Clinic Inc. P.S.'s NPI number?

The NPI number for Richmond Pediatric Clinic Inc. P.S. is 1114962446. It was assigned to this organization in the NPPES registry on June 19, 2006.

Where is Richmond Pediatric Clinic Inc. P.S. located?

Richmond Pediatric Clinic Inc. P.S. is located at 357 NW Richmond Beach Rd Richmond Pediatrics, Shoreline, WA 98177. The listed phone number is (206) 546-2421.

What is Richmond Pediatric Clinic Inc. P.S.'s specialty?

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

Is Richmond Pediatric Clinic Inc. P.S. enrolled in Medicare?

Yes. Richmond Pediatric Clinic Inc. P.S. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Richmond Pediatric Clinic Inc. P.S.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Pediatric Medicine, reassign their Medicare billing to Richmond Pediatric Clinic Inc. P.S.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Richmond Pediatric Clinic Inc. P.S. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D0633458) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Richmond Pediatric Clinic Inc. P.S. was last updated on June 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.