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SPOKANE PEDIATRICS PLLC
NPI 1932680949
Pediatrics in Spokane, WA

Active since August 27, 2018CLIA 50D2155302 · Waiver
315 W 9TH AVE STE 200, SPOKANE, WA 99204(509) 990-6249 Get Directions Write a Review

NPPES record last updated: August 27, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Spokane Pediatrics Pllc NPPES

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

SPOKANE PEDIATRICS PLLC (NPI 1932680949) is a healthcare organization registered as a pediatrics in Spokane, Washington and active in the NPI registry since August 2018. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Annette J Seay, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1932680949
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSPOKANE PEDIATRICS PLLC
Location Address315 W 9TH AVE STE 200Spokane, WA 99204
Mailing Address315 W 9th Ave Ste 200Spokane, WA 99204-2501
Phone(509) 990-6249
Organization SubpartNo
Authorized OfficialAnnette J SeayOffice Manager · (509) 990-6249
Enumeration DateAugust 27, 2018
✔ NPI 1932680949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
315 W 9TH AVE STE 200, Spokane, WA 99204
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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

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spokane Pediatrics Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateWashingtonEnrollment IDO20210304002899Non-DME Part B · Mass Immunization (Roster Biller Only)Due dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

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 50D2155302

Spokane Pediatrics · Spokane, WA
Active · expires Apr 4, 2028
CLIA Number50D2155302
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateSeptember 26, 2018
Certificate Expiration DateApril 4, 2028
Laboratory DirectorYvette Rosser
Laboratory Phone(509) 960-8894
Laboratory LocationSpokane Pediatrics601 W 5th Ave Ste 200, Spokane, WA 99204
CLIA data matches this NPI record on: 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.

DR. JENNIFER L KALISVAART M.D.
Pediatrics
315 W 9TH AVE STE 200
SPOKANE, WA 99204
Spokane County (509) 960-8894
DR. VERONICA JESSICK M.D.
Family Medicine
315 W 9TH AVE STE 200
SPOKANE, WA 99204
Spokane County (509) 444-8200
COMMUNITY HEALTH ASSOCIATION OF SPOKANE
Pediatrics
315 W 9TH AVE STE 200
SPOKANE, WA 99204
Spokane County (509) 960-8894
MELANIE VANESSA FLORES ARIAS
Counselor (Mental Health)
315 W 9TH AVE STE 200
SPOKANE, WA 99204
Spokane County (509) 444-8200
KIMBERLY D RESLEFF ARNP
Nurse Practitioner (Pediatrics)
315 W 9TH AVE STE 200
SPOKANE, WA 99204
Spokane County (509) 960-8894
HANNAH L LODERS PSYD
Psychologist (Clinical Child & Adolescent)
315 W 9TH AVE STE 200
SPOKANE, WA 99204
Spokane County (509) 448-8200

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 Spokane Pediatrics PLLC's NPI number?

The NPI number for Spokane Pediatrics PLLC is 1932680949. It was assigned to this organization in the NPPES registry on August 27, 2018.

Where is Spokane Pediatrics PLLC located?

Spokane Pediatrics PLLC is located at 315 W 9th Ave Ste 200, Spokane, WA 99204. The listed phone number is (509) 990-6249.

What is Spokane Pediatrics PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Spokane Pediatrics PLLC enrolled in Medicare?

Yes. Spokane Pediatrics PLLC is registered in the Medicare PECOS enrollment system.

When is Spokane Pediatrics PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Washington, Mass Immunization (Roster Biller Only)) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Spokane Pediatrics PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2155302) 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 Spokane Pediatrics PLLC was last updated on August 27, 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.