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CENTENNIAL PEDIATRICS OF SPOKANE, PLLC
NPI 1346964806
Pediatrics in Spokane, WA

Active since September 28, 2022CLIA 50D2272515 · Waiver
3010 S SOUTHEAST BLVD STE A, SPOKANE, WA 99223(509) 352-3777(509) 343-3717 Get Directions Write a Review

NPPES record last updated: July 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2023, Nov 6, 2022, Sep 28, 2022 (3 updates tracked since 2022).

About Centennial Pediatrics Of Spokane, Pllc NPPES

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

CENTENNIAL PEDIATRICS OF SPOKANE, PLLC (NPI 1346964806) is a healthcare organization registered as a pediatrics in Spokane, Washington and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Jennifer Kalisvaart, Owner, as its authorized official.

NPPES Registry Identity

NPI1346964806
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCENTENNIAL PEDIATRICS OF SPOKANE, PLLC
Location Address3010 S SOUTHEAST BLVD STE ASpokane, WA 99223-3540
Mailing Address3010 S Southeast Blvd Ste ASpokane, WA 99223-3540 · (509) 352-3777 · Fax (509) 343-3717
Phone(509) 352-3777
Fax(509) 343-3717
Organization SubpartNo
Authorized OfficialJennifer KalisvaartOwner · (562) 277-0834
Enumeration DateSeptember 28, 2022
Last NPPES UpdateJuly 21, 20233 updates tracked since enumeration
NPPES CertifiedJuly 21, 2023
✔ NPI 1346964806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X
Also ListedNurse PractitionerTaxonomy 363L00000X
3010 S SOUTHEAST BLVD STE A, Spokane, WA 99223
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Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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 50D2272515

Centennial Pediatrics Of Spokane · Spokane, WA
Active · expires Apr 4, 2028
CLIA Number50D2272515
Laboratory TypePhysician Office
Certificate Effective DateNovember 22, 2022
Certificate Expiration DateApril 4, 2028
Laboratory DirectorKimberly Resleff
Laboratory Phone(509) 352-3777
Laboratory LocationCentennial Pediatrics Of Spokane3010 S Southeast Blvd Ste A, Spokane, WA 99223
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 4

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

GEORGE EDWIN KNAPP LMP
Massage Therapist
3010 S SOUTHEAST BLVD STE A
SPOKANE, WA 99223
Spokane County (509) 688-6700
MARCELA A HORNESS LMT
Reflexologist
3010 S SOUTHEAST BLVD STE A
SPOKANE, WA 99223
Spokane County (509) 533-1000
DR. HAROLD L. BAILEY MD
Family Medicine
3010 S SOUTHEAST BLVD STE A
SPOKANE, WA 99223
Spokane County (509) 625-3600
CHELSEA WILHELM RN, IBCLC
Registered Nurse (Lactation Consultant)
3010 S SOUTHEAST BLVD STE A
SPOKANE, WA 99223
Spokane County (509) 352-3777

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 Centennial Pediatrics Of Spokane, PLLC's NPI number?

The NPI number for Centennial Pediatrics Of Spokane, PLLC is 1346964806. It was assigned to this organization in the NPPES registry on September 28, 2022.

Where is Centennial Pediatrics Of Spokane, PLLC located?

Centennial Pediatrics Of Spokane, PLLC is located at 3010 S Southeast Blvd Ste A, Spokane, WA 99223. The listed phone number is (509) 352-3777.

What is Centennial Pediatrics Of Spokane, PLLC's specialty?

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

Does Centennial Pediatrics Of Spokane, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2272515) 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 Centennial Pediatrics Of Spokane, PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Centennial Pediatrics Of Spokane, 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 Centennial Pediatrics Of Spokane, PLLC was last updated on July 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.