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N W Pediatric Center Inc P S

Pediatrics Physician in Rochester, WA · enumerated 2012 · authorized official Lisa Mckay, Practice Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1194091637

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Registry record

Entity type Organization (Type 2)
Legal business name N W Pediatric Center Inc P S
Parent organization N.W.Pediatric Center Inc Ps
Practice address 18313 Paulson St Sw, Rochester, WA, 98579
Phone (360) 736-6778
Fax (360) 736-6552
Enumeration date Mar 29, 2012
Last updated in NPPES Oct 9, 2025

Taxonomy & classification

133V00000X Registered Dietitian Dietary & Nutritional Service Providers · License D160180464 (WA) Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License MD00043677 (WA) Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License MD00048049 (WA) Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License MD00038226 (WA) Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License MD00029916 (WA) Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License MD00027525 (WA) Primary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License MD00028578 (WA) Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License MD00032554 (WA) Secondary
2084P0804X Child & Adolescent Psychiatry Physician Allopathic & Osteopathic Physicians · License MD00039351 (WA) Secondary
363LP0200X Pediatric Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License AP60093357 (WA) Secondary
363LP0200X Pediatric Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License AP60086265 (WA) Secondary
363LP0200X Pediatric Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License AP30007039 (WA) Secondary
363LP0200X Pediatric Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License AP30006273 (WA) Secondary
363LP0200X Pediatric Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License AP30004257 (WA) Secondary

Authorized official

Name Lisa Mckay
Title Practice Manager
Phone (360) 736-6777

Other identifiers

Identifier Type State Issuer
8349342 Medicaid WI -
1058825 Medicaid WI -
8488298 Medicaid WA -
9636994 Medicaid WA -
1072958 Medicaid WA -
9653551 Medicaid WA -
9661323 Medicaid WA -
8141947 Medicaid WA -
8251324 Medicaid WA -
9643156 Medicaid WA -
8173882 Medicaid WA -
8398356 Medicaid WA -
961422 Medicaid WA -
2010815 Medicaid WA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is N W Pediatric Center Inc P S?
N W Pediatric Center Inc P S is registered in NPPES as a Pediatrics Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-10-09.