CCM SPECIALTY CARE LLC – NPI #1336932193
Pediatrics
A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.
CCM SPECIALTY CARE LLC is a provider located in BELLEVUE, WA. NPPES has assigned the NPI number 1336932193 to CCM SPECIALTY CARE LLC on May 26, 2025. 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 2080P0201X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Allergy/Immunology Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.
The NPI profile was last updated on May 14, 2026. 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 CCM SPECIALTY CARE LLC below.
NPI Profile for
CCM SPECIALTY CARE LLC
(more than a year ago)
BELLEVUE, WA 98004-3097 Phone: (425) 276-1825 Fax: (855) 785-8770
FEDERAL WAY, WA 98003-7042 Phone: (425) 276-1825 Fax: (206) 899-1299
MEDICAL DIRECTOR
Phone: (425) 276-1825
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.
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 |
|---|---|---|
| 2080P0201X - Pediatrics / Pediatric Allergy/Immunology (Primary) |
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| 225B00000X - Pulmonary Function Technologist |
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| 208000000X - Pediatrics |
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| 163WP2201X - Registered Nurse / Ambulatory Care |
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| 163WP0200X - Registered Nurse / Pediatrics |
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| 163WI0500X - Registered Nurse / Infusion Therapy |
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| 163WG0000X - Registered Nurse / General Practice |
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.