PSP
NPI 1699233080
Pediatrics in Federal Way, WA

Active since March 05, 2019CLIA 50D2208710 · Waiver
32124 1ST AVE S STE 100, FEDERAL WAY, WA 98003(253) 661-5939 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2024, May 28, 2019, Mar 14, 2019 and 1 more (4 updates tracked since 2019).

About Psp NPPES

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

PSP (NPI 1699233080) is a healthcare organization registered as a pediatrics in Federal Way, Washington and active in the NPI registry since March 2019. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Nauman Ahmad, Managing Director, as its authorized official.

NPPES Registry Identity

NPI1699233080
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRIC SPECIALTY PRACTICES, PLLC
Location Address32124 1ST AVE S STE 100Federal Way, WA 98003-5761
Mailing Address32124 1st Ave S Ste 100Federal Way, WA 98003-5761 · (347) 547-4176
Organization SubpartNo
Authorized OfficialNauman AhmadManaging Director · (347) 547-4176
Enumeration DateMarch 5, 2019
Last NPPES UpdateMay 16, 20244 updates tracked since enumeration
NPPES CertifiedMay 16, 2024
NPI 1699233080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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 ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X
32124 1ST AVE S STE 100, Federal Way, WA 98003

Other Names 1

Other NamePsp

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 50D2208710

Pediatric Specialty Practices · Federal Way, WA
Active · expires Apr 4, 2028
CLIA Number50D2208710
Laboratory TypePhysician Office
Certificate Effective DateJanuary 7, 2021
Certificate Expiration DateApril 4, 2028
Laboratory DirectorNauman Ahmad
Laboratory Phone(253) 661-5939
Laboratory LocationPediatric Specialty Practices32124 1st Ave S Ste 100, Federal Way, WA 98003
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 3

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

Pediatrics
32124 1ST AVE S STE 100
FEDERAL WAY, WA 98003
Pediatrics (Pediatric Cardiology)
32124 1ST AVE S STE 100
FEDERAL WAY, WA 98003
Point of Service
32124 1ST AVE S STE 100
FEDERAL WAY, WA 98003

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 Specialty Practices, PLLC's NPI number?

The NPI number for Pediatric Specialty Practices, PLLC is 1699233080. It was assigned to this organization in the NPPES registry on March 5, 2019. The provider is also known as Psp.

Where is Pediatric Specialty Practices, PLLC located?

Pediatric Specialty Practices, PLLC is located at 32124 1st Ave S Ste 100, Federal Way, WA 98003. The listed phone number is (253) 661-5939.

What is Pediatric Specialty Practices, PLLC's specialty?

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

Does Pediatric Specialty Practices, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2208710) 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 Specialty Practices, PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Pediatric Specialty Practices, 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 Pediatric Specialty Practices, PLLC was last updated on May 16, 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.