MT. SPOKANE PEDIATRICS, PLLC
NPI 1477934578
Clinic/Center - Multi-Specialty in Spokane, WA
NPI Status: Active since June 15, 2015
Contact Information
759 E HOLLAND AVE STE 101
SPOKANE, WA
ZIP 99218
Phone: (509) 270-0065
Fax: (509) 319-2520
- Organization
- Clinic/Center
- Multi-Specialty
- Accepts Insurance
- CLIA Number: 50D2098125
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 04-04-2028
About MT. SPOKANE PEDIATRICS, PLLC
This page provides the complete NPI Profile along with additional information for Mt. Spokane Pediatrics, Pllc, a provider established in Spokane, Washington operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1477934578 assigned on June 2015. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated February 2026. The authorized official of this NPI record is Taylor Root (Admin)
- NPI
- 1477934578
- Provider Name
- MT. SPOKANE PEDIATRICS, PLLC
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 759 E HOLLAND AVE STE 101 SPOKANE, WA 99218
- Location Phone
- (509) 270-0065
- Location Fax
- (509) 319-2520
- Mailing Address
- 759 E HOLLAND AVE STE 101 SPOKANE, WA 99218
- Mailing Phone
- (509) 270-0065
- Mailing Fax
- (509) 319-2520
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-15-2015
- Last Update Date
- 02-05-2026
- Code Navigator
Location Map
Secondary Locations
- 1301 N Pines Rd Ste 100
Spokane Valley, WA 99206
(509) 270-0065 - 759 E Holland Ave Ste 102
Spokane, WA 99218
(509) 866-0200
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies | |
| 2 | 332BC3200X | Suppliers | Durable Medical Equipment & Medical Supplies | |
| 3 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 4 | 363LA2100X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 5 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 6 | 363LP0200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 7 | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 8 | 363LP2300X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
- Premera Blue Cross Family Dental - PPO
- Premera Blue Cross Pediatric Dental - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 50D2098125
- Facility Type
- Practitioner Other
- Certificate Effective Date
- June 30, 2015
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- JEFFREY SCHILT
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Mt. Spokane Pediatrics, Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for MT. SPOKANE PEDIATRICS, PLLC
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NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1477934578, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 72 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 9 providers are registered at the same or a nearby location.
SPOKANE, WA 99218
SPOKANE, WA 99218
SPOKANE, WA 99218
SPOKANE, WA 99218
SPOKANE, WA 99218
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477934578, enumerated as an "organization" on June 15, 2015.
The provider is located at 759 E HOLLAND AVE STE 101 SPOKANE, WA 99218 and the phone number is (509) 270-0065.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.
