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WOODCREEK PEDIATRICS, PLLC
NPI 1699802728
Pediatrics in Puyallup, WA

Active since February 27, 2007CLIA 50D0932635 · Certificate of Compliance
1706 S MERIDIAN, SUITE 120, PUYALLUP, WA 98371(253) 848-8797(253) 845-0100 Get Directions Write a Review

NPPES record last updated: March 18, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Woodcreek Pediatrics, Pllc NPPES

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

WOODCREEK PEDIATRICS, PLLC (NPI 1699802728) is a healthcare organization registered as a pediatrics in Puyallup, Washington and active in the NPI registry since February 2007. The organization holds a CLIA Certificate of Compliance certificate valid through April 4, 2028 and lists Pam Mathison, Finance Manager, as its authorized official.

NPPES Registry Identity

NPI1699802728
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameWOODCREEK PEDIATRICS, PLLC
Location Address1706 S MERIDIAN, SUITE 120Puyallup, WA 98371-7516
Mailing Address1706 S Meridian, Suite 120Puyallup, WA 98371-7516 · (253) 848-8797 · Fax (253) 845-0100
Phone(253) 848-8797
Fax(253) 845-0100
Organization SubpartNo
Authorized OfficialPam MathisonFinance Manager · (253) 446-3226
Enumeration DateFebruary 27, 2007
Last NPPES UpdateMarch 18, 2011
✔ NPI 1699802728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ 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 ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X
1706 S MERIDIAN, Puyallup, WA 98371
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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

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 Compliance 50D0932635

Woodcreek Pediatrics- Mary Bridge Children's · Puyallup, WA
Active · expires Apr 4, 2028
CLIA Number50D0932635
Laboratory TypeOther
Certificate Effective DateAugust 25, 1997
Certificate Expiration DateApril 4, 2028
Laboratory DirectorSharon Rose H. Santos
Laboratory Phone(253) 848-8797
Laboratory LocationWoodcreek Pediatrics- Mary Bridge Children's11102 Sunrise Blvd E Ste 103, Puyallup, WA 98374
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 7

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

SHAWNA HOOD ARNP
Nurse Practitioner (Pediatrics)
1706 S MERIDIAN, SUITE 120
PUYALLUP, WA 98371
Pierce County (253) 848-8797
AMY VRANEY VIRNIG ARNP
Nurse Practitioner (Family)
1706 S MERIDIAN, STE 120
PUYALLUP, WA 98371
Pierce County (253) 848-8797
DR. KYLE MIHAYLO MD
Pediatrics (Sports Medicine)
1706 S MERIDIAN
PUYALLUP, WA 98371
Pierce County (253) 848-8797
SHANNON RENICH
Marriage & Family Therapist
1706 S MERIDIAN, SUITE 120
PUYALLUP, WA 98371
Pierce County (253) 446-3202
LAURA S HOPPER ARNP
Nurse Practitioner (Family)
1706 S MERIDIAN, STE 120
PUYALLUP, WA 98371
Pierce County (253) 848-8797
EMILY KATHERINE WILSON FNP
Nurse Practitioner
1706 S MERIDIAN
PUYALLUP, WA 98371
Pierce County (253) 848-8797
TERI MOSER WOO PNP
Nurse Practitioner (Pediatrics)
1706 S MERIDIAN, SUITE 120
PUYALLUP, WA 98371
Pierce County (253) 446-3202

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 Woodcreek Pediatrics, PLLC's NPI number?

The NPI number for Woodcreek Pediatrics, PLLC is 1699802728. It was assigned to this organization in the NPPES registry on February 27, 2007.

Where is Woodcreek Pediatrics, PLLC located?

Woodcreek Pediatrics, PLLC is located at 1706 S Meridian Suite 120, Puyallup, WA 98371. The listed phone number is (253) 848-8797.

What is Woodcreek Pediatrics, PLLC's specialty?

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

Does Woodcreek Pediatrics, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 50D0932635) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Woodcreek Pediatrics, PLLC was last updated on March 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.