LEAVENWORTH FAMILY MEDICINE
NPI 1881248946
Family Medicine in Peshastin, WA

Active since July 27, 2019CLIA 50D2142376 · Waiver
10090 MAIN ST APT H, PESHASTIN, WA 98847(509) 881-0722(833) 450-1534 Get Directions Write a Review

NPPES record last updated: July 27, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Family Medicine
  • CLIA Number: 50D2142376
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-04-2028

About LEAVENWORTH FAMILY MEDICINE

This page provides the complete NPI Profile along with additional information for Leavenworth Family Medicine, a primary care provider established in Peshastin, Washington operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1881248946 assigned on July 2019. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Leavenworth Family Medicine operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Jessica Bridges Nd (Business Administrator/physician)

NPI
1881248946 Verify this NPI
Provider Name
LEAVENWORTH FAMILY MEDICINE
Entity Type
Organization
Location Address
10090 MAIN ST APT H PESHASTIN, WA 98847
Location Phone
(509) 881-0722
Location Fax
(833) 450-1534
Mailing Address
10090 MAIN ST APT H PESHASTIN, WA 98847
Mailing Phone
(509) 881-0722
Mailing Fax
(833) 450-1534
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-27-2019
Last Update Date
07-27-2019
Code Navigator

A primary care provider (PCP) like Leavenworth Family Medicine sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1175F00000XOther Service Providers

Naturopath

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

DR. JESSICA BRIDGES ND

Authorized Official Title
BUSINESS ADMINISTRATOR/PHYSICIAN
Authorized Official Phone
(509) 881-0722

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
50D2142376
Facility Type
Physician Office
Certificate Effective Date
January 09, 2018
Certificate Expiration Date
April 04, 2028
Laboratory Director
JESSICA BRIDGES
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Leavenworth Family Medicine 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.

Reviews for LEAVENWORTH FAMILY MEDICINE

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Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Marriage & Family Therapist
10090 MAIN ST APT H
PESHASTIN, WA 98847
Marriage & Family Therapist
10090 MAIN ST APT H
PESHASTIN, WA 98847
Massage Therapist
10090 MAIN ST APT H
PESHASTIN, WA 98847
Family Medicine
10090 MAIN ST APT H
PESHASTIN, WA 98847
Massage Therapist
10090 MAIN ST APT H
PESHASTIN, WA 98847
Naturopath
10090 MAIN ST APT H
PESHASTIN, WA 98847
Naturopath
10090 MAIN ST APT H
PESHASTIN, WA 98847
Naturopath
10090 MAIN ST APT H
PESHASTIN, WA 98847

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881248946, enumerated as an "organization" on July 27, 2019.

The provider is located at 10090 MAIN ST APT H PESHASTIN, WA 98847 and the phone number is (509) 881-0722.

Family Medicine with taxonomy code 207Q00000X.