BAINBRIDGE PEDIATRICS, PLLC
NPI 1851424931
Pediatrics - Adolescent Medicine in Bainbridge Island, WA

Active since March 14, 2007CLIA 50D1063091 · Waiver
1298 GROW AVE NW, BAINBRIDGE ISLAND, WA 98110(206) 780-5437(206) 780-5438 Get Directions Write a Review

NPPES record last updated: January 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bainbridge Pediatrics, Pllc NPPES

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

BAINBRIDGE PEDIATRICS, PLLC (NPI 1851424931), doing business as Cww Pllc, is a healthcare organization registered as an adolescent medicine in Bainbridge Island, Washington and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Jennifer M. Ottmer, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1851424931
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameBAINBRIDGE PEDIATRICS, PLLC
Location Address1298 GROW AVE NWBainbridge Island, WA 98110
Mailing Address1298 Grow Ave NwBainbridge Island, WA 98110 · (206) 780-5437 · Fax (206) 780-5438
Fax(206) 780-5438
Organization SubpartNo
Authorized OfficialJennifer M. OttmerPractice Manager · (206) 780-5437
Enumeration DateMarch 14, 2007
Last NPPES UpdateJanuary 16, 2018
NPI 1851424931 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 · 602636742
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.
1298 GROW AVE NW, Bainbridge Island, WA 98110

Other Names 1

Former Legal Business NameCww Pllc

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

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 50D1063091

Bainbridge Pediatrics, PLLC · Bainbridge Island, WA
Active · expires Apr 4, 2028
CLIA Number50D1063091
Laboratory TypePhysician Office
Certificate Effective DateApril 20, 2007
Certificate Expiration DateApril 4, 2028
Laboratory DirectorMolly S. Linhardt
Laboratory Phone(206) 780-5437
Laboratory LocationBainbridge Pediatrics, PLLC1298 Grow Ave NW, Bainbridge Island, WA 98110
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Pediatrics
1298 GROW AVE NW
BAINBRIDGE ISLAND, WA 98110
Pediatrics
1298 GROW AVE NW
BAINBRIDGE ISLAND, WA 98110
Physician Assistant
1298 GROW AVE NW
BAINBRIDGE ISLAND, WA 98110

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 Bainbridge Pediatrics, PLLC's NPI number?

The NPI number for Bainbridge Pediatrics, PLLC is 1851424931. It was assigned to this organization in the NPPES registry on March 14, 2007. The provider was formerly known as Cww PLLC.

Where is Bainbridge Pediatrics, PLLC located?

Bainbridge Pediatrics, PLLC is located at 1298 Grow Ave NW, Bainbridge Island, WA 98110. The listed phone number is (206) 780-5437.

What is Bainbridge Pediatrics, PLLC's specialty?

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

Does Bainbridge Pediatrics, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D1063091) 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 Bainbridge Pediatrics, PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Bainbridge 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 Bainbridge Pediatrics, PLLC was last updated on January 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.