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VILLAGE PEDIATRICS, PLLC
NPI 1720426372
Clinic/Center - Primary Care in Issaquah, WA

Active since June 05, 2013CLIA 50D2088019 · Waiver
317 NW GILMAN BLVD STE 48, ISSAQUAH, WA 98027(425) 996-3396(425) 996-0231 Get Directions Write a Review

NPPES record last updated: June 5, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Village Pediatrics, Pllc NPPES

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

VILLAGE PEDIATRICS, PLLC (NPI 1720426372) is a healthcare organization registered as a primary care in Issaquah, Washington and active in the NPI registry since June 2013. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Staci Scott, Pediatric Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1720426372
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameVILLAGE PEDIATRICS, PLLC
Location Address317 NW GILMAN BLVD STE 48Issaquah, WA 98027-2485
Mailing Address1975 25th Ave NeIssaquah, WA 98029-7737 · (814) 387-8224
Phone(425) 996-3396
Fax(425) 996-0231
Organization SubpartNo
Authorized OfficialStaci ScottPediatric Nurse Practitioner · (814) 387-8224
Enumeration DateJune 5, 2013
✔ NPI 1720426372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in WA · AP60081924
317 NW GILMAN BLVD STE 48, Issaquah, WA 98027
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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 50D2088019

Village Pediatrics PLLC · Issaquah, WA
Active · expires Apr 4, 2028
CLIA Number50D2088019
Laboratory TypePediatrics Clinic
Certificate Effective DateDecember 9, 2014
Certificate Expiration DateApril 4, 2028
Laboratory DirectorStaci S. Scott
Laboratory Phone(425) 651-4242
Laboratory LocationVillage Pediatrics PLLC450 NW Gilman Blvd Ste 105, Issaquah, WA 98027
CLIA data matches this NPI record on: 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 Village Pediatrics, PLLC's NPI number?

The NPI number for Village Pediatrics, PLLC is 1720426372. It was assigned to this organization in the NPPES registry on June 5, 2013.

Where is Village Pediatrics, PLLC located?

Village Pediatrics, PLLC is located at 317 NW Gilman Blvd Ste 48, Issaquah, WA 98027. The listed phone number is (425) 996-3396.

What is Village Pediatrics, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Village Pediatrics, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2088019) 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 Village Pediatrics, PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Village Pediatrics, 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 Village Pediatrics, PLLC was last updated on June 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.