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Organization

N W Pediatric Center Inc P S

NPI Record: ActivePediatrics
NPI1194091637
Rochester, Washington

Provider's NPPES record last updated: October 9, 2025

Overview

Entity Type
Organization
NPI
1194091637
Primary Specialty
Pediatrics
Practice Location
Rochester, Washington
Organization Subpart
Yes
Parent Organization
N.w.pediatric Center Inc Ps

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 12:31 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Pediatrics

    Allopathic & Osteopathic Physicians

    Primary

    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.

    Taxonomy code 208000000X
  • Dietitian, Registered

    Dietary & Nutritional Service Providers

    A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

    Taxonomy code 133V00000X
  • Psychiatry & Neurology

    Child & Adolescent Psychiatry

    Allopathic & Osteopathic Physicians

    Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

    Taxonomy code 2084P0804X
  • Nurse Practitioner

    Pediatrics

    Physician Assistants & Advanced Practice Nursing Providers

    Definition to come...

    Taxonomy code 363LP0200X

Provider-Reported License Information

Pediatrics (Washington)
MD00027525
Dietitian, Registered (Washington)
D160180464
Pediatrics (Washington)
MD00043677
Pediatrics (Washington)
MD00048049
Pediatrics (Washington)
MD00038226
Pediatrics (Washington)
MD00029916
Pediatrics (Washington)
MD00028578
Pediatrics (Washington)
MD00032554
Psychiatry & Neurology (Washington)
MD00039351
Nurse Practitioner (Washington)
AP60093357
Nurse Practitioner (Washington)
AP60086265
Nurse Practitioner (Washington)
AP30007039
Nurse Practitioner (Washington)
AP30006273
Nurse Practitioner (Washington)
AP30004257
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

18313 Paulson St Sw

Rochester, Washington 98579-9262

Phone: (360) 736-6778

Record Information

Enumeration Date
March 29, 2012
Provider's NPPES Record Last Updated
October 9, 2025
Certification Date
October 9, 2025
NPISignal NPPES Dataset
August 2026

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