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PEDIATRIC SERVICES OF AMERICA, LLC
NPI 1609284546
Nursing Care in Lakewood, WA

Active since July 23, 2014CLIA 50D2085011 · Waiver
7602 BRIDGEPORT WAY W STE 2B, LAKEWOOD, WA 98499(360) 651-0520(360) 651-0539 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 6, 2021, Jan 30, 2020, Jun 14, 2019 and 1 more (4 updates tracked since 2016).

About Pediatric Services Of America, Llc NPPES

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

PEDIATRIC SERVICES OF AMERICA, LLC (NPI 1609284546), doing business as Aveanna Healthcare, is a healthcare organization registered as a nursing care in Lakewood, Washington and active in the NPI registry since July 2014. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Matthew Buckhalter, Cfo, as its authorized official.

NPPES Registry Identity

NPI1609284546
Entity TypeOrganization
Primary Taxonomy251J00000X
Legal Business NamePEDIATRIC SERVICES OF AMERICA, LLC
Location Address7602 BRIDGEPORT WAY W STE 2BLakewood, WA 98499-2415
Mailing Address400 Interstate North Pkwy Se Ste 1600Atlanta, GA 30339-5047 · (470) 464-8000 · Fax (770) 248-8192
Phone(360) 651-0520
Fax(360) 651-0539
Organization SubpartNo
Authorized OfficialMatthew BuckhalterCfo · (470) 464-8000
Enumeration DateJuly 23, 2014
Last NPPES UpdateJanuary 27, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2025
✔ NPI 1609284546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing CareAgencies
Taxonomy Code251J00000X
Definition
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
7602 BRIDGEPORT WAY W STE 2B, Lakewood, WA 98499
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Other Names 1

Doing Business AsAveanna Healthcare

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 50D2085011

Pediatric Services Of America, LLC Dba Aveanna Healthcare · Lakewood, WA
Active · expires Apr 4, 2028
CLIA Number50D2085011
Laboratory TypeHome Health Agency
Certificate Effective DateOctober 6, 2014
Certificate Expiration DateApril 4, 2028
Laboratory DirectorMartha L. Vandagriff
Laboratory Phone(360) 651-0520
Laboratory LocationPediatric Services Of America, LLC Dba Aveanna Healthcare7602 Bridgeport Way W Ste 2B, Lakewood, WA 98499
CLIA data matches this NPI record on: Address Name Phone
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 Pediatric Services Of America, LLC's NPI number?

The NPI number for Pediatric Services Of America, LLC is 1609284546. It was assigned to this organization in the NPPES registry on July 23, 2014. The provider is doing business as Aveanna Healthcare.

Where is Pediatric Services Of America, LLC located?

Pediatric Services Of America, LLC is located at 7602 Bridgeport Way W Ste 2B, Lakewood, WA 98499. The listed phone number is (360) 651-0520.

What is Pediatric Services Of America, LLC's specialty?

The primary specialty registered for this NPI is Nursing Care with taxonomy code 251J00000X.

Does Pediatric Services Of America, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2085011) 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 Pediatric Services Of America, LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Pediatric Services Of America, LLC 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 Pediatric Services Of America, LLC was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.