1. Home
  2. Directory
  3. Washington
  4. Puyallup
  5. Pediatrics
  6. NPI Profile

RAINIER PEDIATRICS, INC
NPI 1720498280
Pediatrics - Adolescent Medicine in Puyallup, WA

Active since May 05, 2014CLIA 50D0635574 · Waiver
12904 94TH AVE E, PUYALLUP, WA 98373(253) 841-3999(253) 841-7311 Get Directions Write a Review

NPPES record last updated: May 5, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rainier Pediatrics, Inc NPPES

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

RAINIER PEDIATRICS, INC (NPI 1720498280) is a healthcare organization registered as an adolescent medicine in Puyallup, Washington and active in the NPI registry since May 2014. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Michael L Pearson, President/owner, as its authorized official.

NPPES Registry Identity

NPI1720498280
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameRAINIER PEDIATRICS, INC
Location Address12904 94TH AVE EPuyallup, WA 98373-5538
Mailing Address12904 94th Ave EPuyallup, WA 98373-5538 · (253) 841-3999 · Fax (253) 841-7311
Phone(253) 841-3999
Fax(253) 841-7311
Organization SubpartNo
Authorized OfficialMichael L PearsonPresident/owner · (253) 732-5508
Enumeration DateMay 5, 2014
✔ NPI 1720498280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in WA · MD00014726
Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

12904 94TH AVE E, Puyallup, WA 98373
Open in Google Maps ↗

Other Identifiers 4

Other1000303437WA · Ehr Nlr Registration Number
Medicaid1069103WA
Other601845065WA · Ubi
Other2080A0000XTaxonomy Code

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 50D0635574

Rainier Pediatrics, Inc · Puyallup, WA
Active · expires Apr 4, 2028
CLIA Number50D0635574
Laboratory TypePhysician Office
Certificate Effective DateAugust 14, 1998
Certificate Expiration DateApril 4, 2028
Laboratory DirectorMichael L. Pearson
Laboratory Phone(253) 841-3999
Laboratory LocationRainier Pediatrics, Inc12904 94th Ave East, Puyallup, WA 98373
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 Rainier Pediatrics, Inc's NPI number?

The NPI number for Rainier Pediatrics, Inc is 1720498280. It was assigned to this organization in the NPPES registry on May 5, 2014.

Where is Rainier Pediatrics, Inc located?

Rainier Pediatrics, Inc is located at 12904 94th Ave E, Puyallup, WA 98373. The listed phone number is (253) 841-3999.

What is Rainier Pediatrics, Inc's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Rainier Pediatrics, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D0635574) 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 Rainier Pediatrics, Inc accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Rainier Pediatrics, Inc 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 Rainier Pediatrics, Inc was last updated on May 5, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.