Mt. Spokane Pediatrics, PLLC
NPI 1477934578 · Multi-Specialty Clinic/Center · Spokane, WA
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mt. Spokane Pediatrics, PLLC is a Multi-Specialty Clinic/Center organization in Spokane, WA (NPI 1477934578).
Provider details
- NPI number
- 1477934578
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Taylor Root, Admin(509) 270-0065
Specialties & taxonomies
Ambulatory Health Care Facilities
- Customized Equipment (DME)332BC3200X
Suppliers
- Primary Care Nurse Practitioner363LP2300X
Physician Assistants & Advanced Practice Nursing Providers
- Pediatric Nurse Practitioner363LP0200X
Physician Assistants & Advanced Practice Nursing Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
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
3 documented practice locations
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
Mailing address
Other names (DBA / former)
- Doing business as
- Mt Spokane Pediatrics PLLC
- Doing business as
- Mt. Spokane Pediatrics
- Doing business as
- Spokane Pediatrics Urgent Care
Additional practice locations (2)
- 759 E Holland Ave Ste 102Spokane, WA 99218-1257Phone: (509) 866-0200Fax: (509) 866-0047
- 1301 N Pines Rd Ste 100Spokane Valley, WA 99206-4964Phone: (509) 270-0065Fax: (509) 319-2520
Registry dates
- Enumerated
- 2015-06-15
- Last updated
- 2026-02-05
- Certified
- 2026-02-05
Frequently asked questions
- What is Mt. Spokane Pediatrics, PLLC's NPI number?
- Mt. Spokane Pediatrics, PLLC's National Provider Identifier (NPI) is 1477934578, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mt. Spokane Pediatrics, PLLC?
- Mt. Spokane Pediatrics, PLLC is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Mt. Spokane Pediatrics, PLLC located?
- Mt. Spokane Pediatrics, PLLC's practice location on file with NPPES is 759 E Holland Ave Ste 101, Spokane, WA 99218-1257.
- What is Mt. Spokane Pediatrics, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Mt. Spokane Pediatrics, PLLC is (509) 270-0065.
- Does Mt. Spokane Pediatrics, PLLC accept Medicare?
- Mt. Spokane Pediatrics, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mt. Spokane Pediatrics, PLLC?
- The authorized official listed on Mt. Spokane Pediatrics, PLLC's NPPES record is Taylor Root, Admin. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mt. Spokane Pediatrics, PLLC's NPI active?
- Yes — Mt. Spokane Pediatrics, PLLC's NPI (1477934578) is active in the NPPES registry as of the last update on 2026-02-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.