N W PEDIATRIC CENTER INC P S – NPI #1518034180
Pediatrics

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.

N W PEDIATRIC CENTER INC P S is a provider located in CENTRALIA, WA. NPPES has assigned the NPI number 1518034180 to N W PEDIATRIC CENTER INC P S on November 29, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was last updated on Oct 09, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for N W PEDIATRIC CENTER INC P S below.

NPI Profile for
N W PEDIATRIC CENTER INC P S

NPI Number
1518034180
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
N W PEDIATRIC CENTER INC P S
Primary location
1911 COOKS HILL RD
CENTRALIA, WA 98531-9073
Phone: (360) 736-6778 Fax: (360) 736-6552
Mailing address
Same as primary location
Organization Subpart
Yes - N W PEDIATRIC CENTER INC P S is subpart of another organization.
Authorized Official
LISA MCKAY
PRACTICE MANAGER
Phone: (360) 736-6778
Updated
Certification Date
Oct 09, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for N W PEDIATRIC CENTER INC P S

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
otherDANA SMITH, ARNP REGENCEWA1194SM
otherDANA SMITH, ARNP REGENCEWA2914SM
otherDANA SMITH, ARNP REGENCEWA9116SM
otherDANA SMITH, ARNP PROVIDENWA212864
otherDR LO REGENCEWA8024LO
otherDR LO REGENCEWA2914LO
otherDR. LO REGENCEWA1914LO
otherJC GROUP HEALTHWA230532008
otherJC PROVIDENCE HEALTH PLANWA218107
otherJENNIFER CASERTA, MD REGEWA2915CA
otherJENNIFER CASERTA, MD REGEWA2914CA
otherJENNIFER CASETA, MD REGENWA9116CA
medicaidWA7057375
medicaidWA8251324
medicaidWA9636994
medicaidWA8173882
medicaidWA8141947
medicaidWA8398356
medicaidWA1058825
medicaidWA1072958
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
WA MD00029916
363LP0200X
- Nurse Practitioner / Pediatrics
WA AP30007039
2084P0804X
- Psychiatry & Neurology / Child & Adolescent Psychiatry
WA MD00039351

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.