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WEBER PEDIATRICS PLLC
NPI 1477396018
Pediatrics in Lewiston, ID

Active since June 13, 2024CLIA 13D2324873 · Waiver
2216 VINEYARD AVE, LEWISTON, ID 83501(971) 209-8219 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Weber Pediatrics Pllc NPPES

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

WEBER PEDIATRICS PLLC (NPI 1477396018) is a healthcare organization registered as a pediatrics in Lewiston, Idaho and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through June 2, 2027 and lists Tysen Weber, Owner, as its authorized official.

NPPES Registry Identity

NPI1477396018
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameWEBER PEDIATRICS PLLC
Location Address2216 VINEYARD AVELewiston, ID 83501-6352
Mailing Address901 22nd AveClarkston, WA 99403-3147 · (971) 209-8219
Phone(971) 209-8219
Organization SubpartNo
Authorized OfficialTysen WeberOwner · (971) 209-8219
Enumeration DateJune 13, 2024
NPPES CertifiedJune 13, 2024
✔ NPI 1477396018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
2216 VINEYARD AVE, Lewiston, ID 83501
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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

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 13D2324873

Weber Pediatrics PLLC · Lewiston, ID
Active · expires Jun 2, 2027
CLIA Number13D2324873
Laboratory TypePhysician Office
Certificate Effective DateJune 3, 2025
Certificate Expiration DateJune 2, 2027
Laboratory DirectorTysen L. Weber
Laboratory Phone(208) 289-0425
Laboratory LocationWeber Pediatrics PLLC2216 Vineyard Ave, Lewiston, ID 83501
CLIA data matches this NPI record on: Address Name
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 Weber Pediatrics PLLC's NPI number?

The NPI number for Weber Pediatrics PLLC is 1477396018. It was assigned to this organization in the NPPES registry on June 13, 2024.

Where is Weber Pediatrics PLLC located?

Weber Pediatrics PLLC is located at 2216 Vineyard Ave, Lewiston, ID 83501. The listed phone number is (971) 209-8219.

What is Weber Pediatrics PLLC's specialty?

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

Does Weber Pediatrics PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2324873) is associated with this NPI, valid through June 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Weber Pediatrics PLLC was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.