Centennial Pediatrics of Spokane, PLLC
NPI 1346964806ActiveOrganization· Pediatrics· Spokane, WA
Pediatrics in Spokane, Washington, registered in NPPES in September 2022. The authorized official on file is Jennifer Kalisvaart, MD, Owner.
Overview
| NPI | 1346964806 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 28, 2022 |
| Last updated in NPPES | Jul 21, 2023 |
| Certified by provider | Jul 21, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | — |
| Psychologist, Clinical Child & Adolescent | 103TC2200X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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