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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: August 09, 2026.

About Leavenworth Family Medicine NPPES

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

LEAVENWORTH FAMILY MEDICINE (NPI 1881248946) is a healthcare organization registered as a family medicine in Peshastin, Washington and active in the NPI registry since July 2019. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Jessica Bridges, Business Administrator/physician, as its authorized official.

NPPES Registry Identity

NPI1881248946
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLEAVENWORTH FAMILY MEDICINE
Location Address10090 MAIN ST APT HPeshastin, WA 98847-9770
Mailing Address10090 Main St Apt HPeshastin, WA 98847-9770 · (509) 881-0722 · Fax (833) 450-1534
Phone(509) 881-0722
Fax(833) 450-1534
Organization SubpartNo
Authorized OfficialJessica BridgesBusiness Administrator/physician · (509) 881-0722
Enumeration DateJuly 27, 2019
✔ NPI 1881248946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
Also ListedNaturopathTaxonomy 175F00000X
10090 MAIN ST APT H, Peshastin, WA 98847
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 50D2142376

Leavenworth Family Medicine PLLC · Leavenworth, WA
Active · expires Apr 4, 2028
CLIA Number50D2142376
Laboratory TypePhysician Office
Certificate Effective DateJanuary 9, 2018
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJessica Bridges
Laboratory Phone(509) 881-0722
Laboratory LocationLeavenworth Family Medicine PLLC321 9th St Ste 203, Leavenworth, WA 98826
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

NGOC-TRAM DUONG
Massage Therapist
10090 MAIN ST APT H
PESHASTIN, WA 98847
Chelan County (206) 778-4616
MAILE GRACE DAVELAAR LMFT
Marriage & Family Therapist
10090 MAIN ST APT H
PESHASTIN, WA 98847
Chelan County (509) 676-6009
DR. BENJAMIN JOHANNES HAWTHORNE ND
Naturopath
10090 MAIN ST APT H
PESHASTIN, WA 98847
Chelan County (509) 881-0722
DR. JESSICA L BRIDGES N.D.
Naturopath
10090 MAIN ST APT H
PESHASTIN, WA 98847
Chelan County (509) 881-0722
MOLLY L BLOSS
Massage Therapist
10090 MAIN ST APT H
PESHASTIN, WA 98847
Chelan County (425) 879-9967
DR. RIAN N HERSCHER ND
Naturopath
10090 MAIN ST APT H
PESHASTIN, WA 98847
Chelan County (509) 881-0722
FIREWEED THERAPY, PLLC
Marriage & Family Therapist
10090 MAIN ST APT H
PESHASTIN, WA 98847
Chelan County (509) 676-6009
DR. KATHRYN LYNNE GIBSON ND
Family Medicine
10090 MAIN ST APT H
PESHASTIN, WA 98847
Chelan County (509) 881-0722

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 Leavenworth Family Medicine's NPI number?

The NPI number for Leavenworth Family Medicine is 1881248946. It was assigned to this organization in the NPPES registry on July 27, 2019.

Where is Leavenworth Family Medicine located?

Leavenworth Family Medicine is located at 10090 Main St Apt H, Peshastin, WA 98847. The listed phone number is (509) 881-0722.

What is Leavenworth Family Medicine's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Leavenworth Family Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2142376) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Leavenworth Family Medicine was last updated on July 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.