SHINE PEDIATRICS, PLLC
NPI 1821851239
Nurse Practitioner - Pediatrics in Bellevue, WA

NPI Status: Active since January 31, 2024

Contact Information

1600 116TH AVE NE STE 304
BELLEVUE, WA
ZIP 98004
Phone: (225) 715-5242

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  • Organization
  • Nurse Practitioner
  • Pediatrics
  • Accepts Insurance
  • CLIA Number: 50D2303390
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-04-2028

About SHINE PEDIATRICS, PLLC

This page provides the complete NPI Profile along with additional information for Shine Pediatrics, Pllc, a provider established in Bellevue, Washington operating as a Nurse Practitioner, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1821851239 assigned on January 2024. The practitioner's primary taxonomy code is 363LP0200X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Staci Swan Arnp (Co-owner, Arnp)

NPI
1821851239
Provider Name
SHINE PEDIATRICS, PLLC
Entity Type
Organization
Location Address
1600 116TH AVE NE STE 304 BELLEVUE, WA 98004
Location Phone
(225) 715-5242
Mailing Address
25676 SE 149TH ST ISSAQUAH, WA 98027
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-31-2024
Last Update Date
08-07-2024
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A nurse practitioner (NP) like Shine Pediatrics, Pllc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Pediatrics

Taxonomy Code
363LP0200X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

STACI SWAN ARNP

Authorized Official Title
CO-OWNER, ARNP
Authorized Official Phone
(225) 715-5242

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
50D2303390
Facility Type
Physician Office
Certificate Effective Date
April 24, 2024
Certificate Expiration Date
April 04, 2028
Laboratory Director
NATALIE BURLESON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Shine Pediatrics, Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1821851239, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
2
Doubled → 4
Pos 4
1
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
5
Unchanged
Pos 7
1
Doubled → 2
Pos 8
2
Unchanged
Pos 9
3
Doubled → 6
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 8 → 16 → 7 1 → 2 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 4 + 1 + 1 + 6 + 5 + 2 + 2 + 6 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1821851239.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Surgery
1600 116TH AVE NE STE 304
BELLEVUE, WA 98004
Surgery
1600 116TH AVE NE STE 304
BELLEVUE, WA 98004
Chiropractor
1600 116TH AVE NE STE 304
BELLEVUE, WA 98004
Nurse Practitioner (Pediatrics)
1600 116TH AVE NE STE 304
BELLEVUE, WA 98004
Nurse Practitioner (Pediatrics)
1600 116TH AVE NE STE 304
BELLEVUE, WA 98004

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821851239, enumerated as an "organization" on January 31, 2024.

The provider is located at 1600 116TH AVE NE STE 304 BELLEVUE, WA 98004 and the phone number is (225) 715-5242.

Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.