OrganizationActive
Rediclinic of Wa, LLC
NPI 1073990610 · Clinic/Center · Bonney Lake, WA
Rediclinic of Wa, LLC is a Clinic/Center organization in Bonney Lake, WA (NPI 1073990610).
Provider details
- NPI number
- 1073990610
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Danielle Barrera, Chief Operating Officer(713) 580-9489
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
21302 State Route 410 E
Bonney Lake, WA 98391-8468
Phone: (713) 335-1742
Fax: (713) 358-4881
Street-level locationGet directions
Mailing address
9 Greenway Plz
Houston, TX 77046-0905
Registry dates
- Enumerated
- 2015-05-04
- Last updated
- 2015-05-04
Frequently asked questions
- What is Rediclinic of Wa, LLC's NPI number?
- Rediclinic of Wa, LLC's National Provider Identifier (NPI) is 1073990610, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Rediclinic of Wa, LLC?
- Rediclinic of Wa, LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Rediclinic of Wa, LLC located?
- Rediclinic of Wa, LLC's practice location on file with NPPES is 21302 State Route 410 E, Bonney Lake, WA 98391-8468.
- What is Rediclinic of Wa, LLC's phone number?
- The practice phone number listed in the NPPES registry for Rediclinic of Wa, LLC is (713) 335-1742.
- Who is the authorized official for Rediclinic of Wa, LLC?
- The authorized official listed on Rediclinic of Wa, LLC's NPPES record is Danielle Barrera, Chief Operating Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Rediclinic of Wa, LLC's NPI active?
- Yes — Rediclinic of Wa, LLC's NPI (1073990610) is active in the NPPES registry as of the last update on 2015-05-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.