Organization
N W PEDIATRIC CENTER INC P S
Active
Parent organization
N.W. PEDIATRIC CENTER INC PS
Other names
Northwest Pediatric Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
N.W. PEDIATRIC CENTER INC PS
Authorized official
LISA GAIL MCKAY (PRACTICE MANAGER)
(360) 736-6778
Entity
Organization
Contact information
Practice address
1911 COOKS HILL RD, CENTRALIA, WA 98531-9073
(360) 736-6778
(360) 736-6552
Mailing address
1911 COOKS HILL RD, CENTRALIA, WA 98531-9073
(360) 736-6778
(360) 736-6552
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD00027525
WA
208000000X
Pediatrics Physician
MD00028578
WA
208000000X
Pediatrics Physician
Primary
MD00029916
WA
208000000X
Pediatrics Physician
MD00032554
WA
208000000X
Pediatrics Physician
MD00038226
WA
208000000X
Pediatrics Physician
MD00043677
WA
2084P0804X
Child & Adolescent Psychiatry Physician
MD00039351
WA
363LP0200X
Pediatric Nurse Practitioner
AP30006273
WA
363LP0200X
Pediatric Nurse Practitioner
AP30007039
WA
363LP0200X
Pediatric Nurse Practitioner
AP60086265
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1058825
—
WA
05
—
1072958
—
WA
01
—
1194SM
DANA SMITH, ARNP REGENCE
WA
01
—
1914LO
DR. LO REGENCE
WA
01
—
212864
DANA SMITH, ARNP PROVIDEN
WA
01
—
218107
JC PROVIDENCE HEALTH PLAN
WA
01
—
230532008
JC GROUP HEALTH
WA
01
—
2914CA
JENNIFER CASERTA, MD REGE
WA
01
—
2914LO
DR LO REGENCE
WA
01
—
2914SM
DANA SMITH, ARNP REGENCE
WA
01
—
2915CA
JENNIFER CASERTA, MD REGE
WA
05
—
7057375
—
WA
01
—
8024LO
DR LO REGENCE
WA
05
—
8141947
—
WA
05
—
8173882
—
WA
05
—
8251324
—
WA
05
—
8398356
—
WA
01
—
9116CA
JENNIFER CASETA, MD REGEN
WA
01
—
9116SM
DANA SMITH, ARNP REGENCE
WA
05
—
9636994
—
WA
Enumeration date
11/29/2006
Last updated
10/09/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us