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OLYMPIA PEDIATRICS, PLLC
NPI 1306012083
Specialist in Olympia, WA

Active since May 02, 2008CLIA 50D0987478 · Waiver
525 LILLY RD NE, SUITE 250, OLYMPIA, WA 98506(360) 413-8470(360) 413-8491 Get Directions Write a Review

NPPES record last updated: June 18, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Olympia Pediatrics, Pllc NPPES

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

OLYMPIA PEDIATRICS, PLLC (NPI 1306012083) is a healthcare organization registered as a specialist in Olympia, Washington and active in the NPI registry since May 2008. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Sally J Bailey, Operations Supervisor, as its authorized official.

NPPES Registry Identity

NPI1306012083
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameOLYMPIA PEDIATRICS, PLLC
Location Address525 LILLY RD NE, SUITE 250Olympia, WA 98506-5101
Mailing Address525 Lilly Rd Ne, Suite 250Olympia, WA 98506-5101 · (360) 413-8470 · Fax (360) 413-8491
Phone(360) 413-8470
Fax(360) 413-8491
Organization SubpartNo
Authorized OfficialSally J BaileyOperations Supervisor · (360) 413-8364
Enumeration DateMay 2, 2008
Last NPPES UpdateJune 18, 2008
✔ NPI 1306012083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
525 LILLY RD NE, Olympia, WA 98506
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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 SINGLE SPECIALTY GROUP

Accepted Insurance

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

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 50D0987478

Olympia Pediatrics PLLC · Olympia, WA
Active · expires Apr 4, 2028
CLIA Number50D0987478
Laboratory TypePhysician Office
Certificate Effective DateJune 5, 2001
Certificate Expiration DateApril 4, 2028
Laboratory DirectorBridget Sipher
Laboratory Phone(360) 413-8470
Laboratory LocationOlympia Pediatrics PLLC3434 12th Ave NE, Olympia, WA 98506
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

MISS SOPHIA TSIRIGOTIS M.D.
Student in an Organized Health Care Education/Training Program
525 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 493-7525
DR. JULIA GRACE LEEP-LAZAR MD
Student in an Organized Health Care Education/Training Program
525 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 493-7230
DR. KELVIE A JOHNSON M.D.
Family Medicine (Adolescent Medicine)
525 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 493-7230
DR. LOWELL RICHARD DIGHTMAN M.D.
Family Medicine
525 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 493-7230
JEANNETTE DELRENE DAVIS ARNP
Nurse Practitioner
525 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 493-7230
DR. JONATHAN KREGER DO
Family Medicine
525 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 493-7525
RUPINDER MOUNDHI MD
Family Medicine
525 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 493-7230
ZOFIA DICE-CHOLODZINSKI PHARMD
Pharmacist
525 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (808) 754-2734

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 Olympia Pediatrics, PLLC's NPI number?

The NPI number for Olympia Pediatrics, PLLC is 1306012083. It was assigned to this organization in the NPPES registry on May 2, 2008.

Where is Olympia Pediatrics, PLLC located?

Olympia Pediatrics, PLLC is located at 525 Lilly Rd NE Suite 250, Olympia, WA 98506. The listed phone number is (360) 413-8470.

What is Olympia Pediatrics, PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Olympia Pediatrics, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D0987478) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Olympia Pediatrics, PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Olympia 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 Olympia Pediatrics, PLLC was last updated on June 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.