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

Active since January 31, 2024CLIA 50D2303390 · Waiver
1600 116TH AVE NE STE 304, BELLEVUE, WA 98004(225) 715-5242 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shine Pediatrics, Pllc NPPES

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

SHINE PEDIATRICS, PLLC (NPI 1821851239) is a healthcare organization registered as a pediatrics in Bellevue, Washington and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Staci Swan, Co-owner, Arnp, as its authorized official.

NPPES Registry Identity

NPI1821851239
Entity TypeOrganization
Primary Taxonomy363LP0200X
Legal Business NameSHINE PEDIATRICS, PLLC
Location Address1600 116TH AVE NE STE 304Bellevue, WA 98004-3057
Mailing Address25676 Se 149th StIssaquah, WA 98027-8331
Phone(225) 715-5242
Organization SubpartNo
Authorized OfficialStaci SwanCo-owner, Arnp · (225) 715-5242
Enumeration DateJanuary 31, 2024
Last NPPES UpdateAugust 7, 2024
NPPES CertifiedAugust 7, 2024
✔ NPI 1821851239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
1600 116TH AVE NE STE 304, Bellevue, WA 98004
Open in Google Maps ↗

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 50D2303390

Shine Pediatrics, PLLC · Bellevue, WA
Active · expires Apr 4, 2028
CLIA Number50D2303390
Laboratory TypePhysician Office
Certificate Effective DateApril 24, 2024
Certificate Expiration DateApril 4, 2028
Laboratory DirectorNatalie Burleson
Laboratory Phone(256) 975-2494
Laboratory LocationShine Pediatrics, PLLC1600 116th Ave NE Ste 304, Bellevue, WA 98004
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

NATALIE BURLESON
Nurse Practitioner (Pediatrics)
1600 116TH AVE NE STE 304
BELLEVUE, WA 98004
King County (256) 975-2494
STACI H SWAN
Nurse Practitioner (Pediatrics)
1600 116TH AVE NE STE 304
BELLEVUE, WA 98004
King County (225) 715-5242
EMILY SMITH
Nurse Practitioner (Pediatrics)
1600 116TH AVE NE STE 304
BELLEVUE, WA 98004
King County (425) 598-2646
DR. HOLLI SOKOLICK DC
Chiropractor
1600 116TH AVE NE STE 304
BELLEVUE, WA 98004
King County (800) 404-6050
DR. TROY PATRICK HOUSEWORTH M.D.
Surgery
1600 116TH AVE NE STE 304
BELLEVUE, WA 98004
King County (425) 453-7888
INSTITUTE FOR LAPAROSCOPIC SURGERY PLLC
Surgery
1600 116TH AVE NE STE 304
BELLEVUE, WA 98004
King County (425) 453-7888

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 Shine Pediatrics, PLLC's NPI number?

The NPI number for Shine Pediatrics, PLLC is 1821851239. It was assigned to this organization in the NPPES registry on January 31, 2024.

Where is Shine Pediatrics, PLLC located?

Shine Pediatrics, PLLC is located at 1600 116th Ave NE Ste 304, Bellevue, WA 98004. The listed phone number is (225) 715-5242.

What is Shine Pediatrics, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Does Shine Pediatrics, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2303390) 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 Shine Pediatrics, PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Shine 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 Shine Pediatrics, PLLC was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.