Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

OLYMPIA PEDIATRICS, PLLC
NPI 1306012083
Specialist in Olympia, WA

Active since May 02, 2008CLIA 50D0987478 · Waiver
3434 12TH AVE NE, OLYMPIA, WA 98506(360) 413-8470(360) 413-8819 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: September 06, 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 Janelle Tiegs, Clinic Administrator, as its authorized official.

NPPES Registry Identity

NPI1306012083
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameOLYMPIA PEDIATRICS, PLLC
Location Address3434 12TH AVE NEOlympia, WA 98506-5175
Mailing Address3434 12th Ave NeOlympia, WA 98506-5175 · (360) 413-8470 · Fax (360) 413-8819
Fax(360) 413-8819
Organization SubpartNo
Authorized OfficialJanelle TiegsClinic Administrator · (360) 413-8364
Enumeration DateMay 2, 2008
Last NPPES UpdateSeptember 2, 2026
NPPES CertifiedSeptember 2, 2026
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.
3434 12TH AVE NE, Olympia, WA 98506

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

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: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

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

Pediatrics
3434 12TH AVE NE
OLYMPIA, WA 98506
Pediatrics
3434 12TH AVE NE
OLYMPIA, WA 98506
Nurse Practitioner (Pediatrics)
3434 12TH AVE NE
OLYMPIA, WA 98506
Pediatrics
3434 12TH AVE NE
OLYMPIA, WA 98506
Pediatrics
3434 12TH AVE NE
OLYMPIA, WA 98506
Pediatrics
3434 12TH AVE NE
OLYMPIA, WA 98506
Dietitian, Registered (Nutrition, Pediatric)
3434 12TH AVE NE
OLYMPIA, WA 98506
Nurse Practitioner (Pediatrics)
3434 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 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 3434 12th Ave NE, 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 September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.